Hall, Jennifer M

Hall, Jennifer M is an individual health care provider with primary practice located at 16801 Chillicothe Rd , Chagrin Falls OH 44023-4618. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hall, Jennifer M can be contacted via phone (440) 543-7475.

Contact Information

Primary practice address
16801 Chillicothe Rd Chagrin Falls OH 44023-4618
Phone: (440) 543-7475
Fax: (440) 708-1162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN227358 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 03742-NP Ohio

Profile Details

NPI number 1265693642
LBN Legal business name Hall, Jennifer M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Jan 5th, 2016 - about 8 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 1265693642 NPPES
Ohio MEDICAID 2830986

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