Individual provider · Type 1 NPI

Jacqueline Hall

Psychiatric/Mental Health Nurse Practitioner · Cottage Grove, OR

NPI number 1508254517 Active

Practice location

1345 Birch Ave
Cottage Grove, OR 97424-1416

Mailing address

492 E 13th Ave Ste 205
Eugene, OR 97401-4250

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X201500067NP-PP (OR)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201500067NP-PP (WA)

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

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About NPI 1508254517

Jacqueline Hall's National Provider Identifier is 1508254517, issued on Dec 27, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cottage Grove, OR. The record was last updated on Jan 16, 2024.