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JESSICA SUBER HALL MSN, APRN, FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1548600950

Individual Registrant:
 JESSICA SUBER HALL MSN, APRN, FNP-C
Gender: F
Sole Proprietor

Location and contact information for practice:
17124 HIGHWAY 72 W  WATERLOO, SC 29384-5144 US
Tel: 864-383-1020  Fax: --

Contact information for business:
17124 HIGHWAY 72 W  WATERLOO, SC 29384-5144 US
Tel: 864-393-1020  Fax: --

Registration Information:
NPI: 1548600950
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
SC18324

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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