Hall, Debra

Hall, Debra is an individual health care provider with primary practice located at 101 Cabarrus Ave E , Concord NC 28025-3699. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hall, Debra can be contacted via phone (888) 849-7379.

Contact Information

Primary practice address
101 Cabarrus Ave E Concord NC 28025-3699
Fax: (855) 857-7333
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 900261 North Carolina

Profile Details

NPI number 1164494886
LBN Legal business name Hall, Debra
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Dec 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164494886 NPPES
North Carolina MEDICAID 7000327

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