| NPI | 1679922744 |
|---|---|
| Former Name | JENNA M HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP8903) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 00) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2019-01-24 |