Individual
JAMIE KELENE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
320 N ROCK RD STE 200, DERBY, KS 67037-3973
(316) 352-7006
(316) 358-7758
Mailing address
320 N ROCK RD STE 200, DERBY, KS 67037-3973
(316) 641-7965
(316) 358-7758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
90125
KS
363L00000X
Nurse Practitioner
76100
KS
363LF0000X
Family Nurse Practitioner
Primary
76100
KS
Other
Enumeration date
08/28/2013
Last updated
06/26/2024
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