Hall, Patricia Danielle

Hall, Patricia Danielle is an individual health care provider with primary practice located at 12100 Highway 49 , Gulfport MS 39503-3063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hall, Patricia Danielle can be contacted via phone (228) 831-1988.

Contact Information

Primary practice address
12100 Highway 49 Gulfport MS 39503-3063
Phone: (228) 831-1988
Fax: (228) 831-1978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R864001 Mississippi

Profile Details

NPI number 1902847163
LBN Legal business name Hall, Patricia Danielle
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Apr 4th, 2018 - about 7 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 1902847163 NPPES
Mississippi MEDICAID 05802031

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