Individual
JACQUELINE N HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 413, MILWAUKEE, WI 53215-3660
(414) 383-7744
(414) 383-8089
Mailing address
2514 S 102ND ST, SUITE 120, WEST ALLIS, WI 53227-2142
(414) 259-8917
(414) 777-5210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3655-23
WI
Other
Enumeration date
09/10/2015
Last updated
12/09/2019
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