Individual
PATRICIA DANIELLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
12100 HIGHWAY 49, GULFPORT, MS 39503-3063
(228) 831-1988
(228) 831-1978
Mailing address
2500 NORTH STATE STREET, JMM SUITE 2525, JACKSON, MS 39216-4500
(601) 815-9528
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R864001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05802031
—
MS
Enumeration date
06/09/2006
Last updated
04/04/2018
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