Individual provider · Type 1 NPI

Tina Hall

Family Nurse Practitioner · Mount Vernon, IL

NPI number 1578039707 Active

Practice location

4107 S Water Tower Pl
Mount Vernon, IL 62864-6293

Fax (618) 244-0056

Mailing address

2253 N Flamingo Ln
Scheller, IL 62883-3009

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.018461 (IL)
Registered Nurse 163W00000X041.394076 (IL)
Dermatology Physician 207N00000X209018461 (IL)
Nurse Practitioner 363L00000X209018461 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1578039707

Tina Hall's National Provider Identifier is 1578039707, issued on Oct 15, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Vernon, IL. The record was last updated on Nov 7, 2019.