Individual
DEBRA SUE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
1560 KINGSLEY AVENUE, SUITE 4, ORANGE PARK, FL 32073
(904) 264-1628
(904) 264-8386
Mailing address
1560 KINGSLEY AVENUE, SUITE 4, ORANGE PARK, FL 32073
(904) 264-1628
(904) 264-8386
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2053952
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP2053952
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP2053952
FL
Other
Enumeration date
02/27/2007
Last updated
05/21/2013
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