Individual
CONSTANCE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1224 E MAIN ST, HAVELOCK, NC 28532-2405
(252) 447-7474
(252) 447-1050
Mailing address
1224 E MAIN ST, HAVELOCK, NC 28532-2405
(252) 447-7474
(252) 447-1050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851784185
—
NC
Enumeration date
03/11/2015
Last updated
05/20/2015
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