Jaclyn Nicole Hall
Nurse Practitioner - Neonatal (Critical Care)
1120 15th St Biw6033
Augusta
, Georgia 30912-0004
Jaclyn Nicole Hall
Nurse Practitioner - Neonatal (Critical Care)
1120 15th St Biw6033
Augusta
, Georgia 30912-0004
(706) 721-7531
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Jaclyn Nicole Hall
- 1120 15th St Biw6033
- Augusta, GA
- Zip : 30912-0004
- Fax : (706) 721-7531
- Phone : (706) 721-2331
Second Address
- Jaclyn Nicole Hall
- 1120 15th St Biw6033
- Augusta, GA
- Zip : 30912-0004
- Fax : (706) 721-7531
- Phone : (706) 721-2331
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN189087 | GA |
National Provider Identifier
| NPI | 1245500644 |
|---|---|
| Provider Name | Jaclyn Nicole Hall |
| First Address | Augusta, GA 30912-0004 |
| Second Address | Augusta, GA 30912-0004 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2012 |
| Last Update Date | 03/01/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.