Individual provider · Type 1 NPI

Channing Hall, APRN, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Conway, AR

NPI number 1104464445 Active

Practice location

2255 Sturgis Rd
Conway, AR 72034-8029

Mailing address

3855 Lazy Creek Trl
Conway, AR 72032-9180

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X122833 (AR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104464445

Channing Hall, APRN, PMHNP's National Provider Identifier is 1104464445, issued on Dec 17, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Conway, AR. The record was last updated on Dec 17, 2019.