Individual
MRS. TINA D HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1050 FRESHOUR ST, STE A, MORRISTOWN, TN 37813-2210
(423) 581-1479
(423) 586-7488
Mailing address
1050 FRESHOUR ST, STE A, MORRISTOWN, TN 37813-2210
(423) 581-1479
(423) 586-7488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6650
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513604
—
TN
01
—
4066177
BLUE CROSS BLUE SCHEILD
TN
Enumeration date
12/22/2005
Last updated
06/29/2020
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