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Individual

MICHELLE D HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
824 S VAN BUREN RD STE F, EDEN, NC 27288-5300
(336) 589-6399
Mailing address
824 S VAN BUREN RD STE F, EDEN, NC 27288-5300
(336) 589-6399

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024166710
VA
363LF0000X
Family Nurse Practitioner
170580
NC
363LF0000X
Family Nurse Practitioner
Primary
201926
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017138446
FNP AUTH TO PRESC- VA
VA
01
0024166710
FNP LICENSE - VA
VA
01
201926
APPROVAL TO PRACTICE AS A NURSE PRACTITIONER
NC
Enumeration date
07/02/2007
Last updated
04/28/2026
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