Individual
JILL NICOLE HALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 PARKVIEW AVE, JACKSON, OH 45640-1525
(740) 286-4246
Mailing address
303 N HIGH ST, JACKSON, OH 45640-1158
(740) 395-7182
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
OH
Enumeration date
08/02/2022
Last updated
08/02/2022
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