Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 199722 | MA |
NPI | 1003441650 |
---|---|
Provider Name | Mrs. Janice Catherine Hall |
First Address | Kingston, NH 03848-3511 |
Second Address | Middleton, MA 01949-1526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2020 |
Last Update Date | 04/03/2020 |