Individual
AMANDA JANE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
1600 MEDICAL CENTER DR STE G500, HUNTINGTON, WV 25701-3659
(304) 691-1262
(304) 691-1666
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-8722
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
105148
WV
363L00000X
Nurse Practitioner
3014474
KY
363LF0000X
Family Nurse Practitioner
Primary
105148
WV
363LF0000X
Family Nurse Practitioner
3014474
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100667110
—
KY
Enumeration date
05/11/2020
Last updated
08/12/2022
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