JACLYN NICOLE HALL (NPI# 1245500644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245500644 |
| Entity Type | Individual |
| Full Name | JACLYN NICOLE HALL |
| Credential | NNP |
| Practice Address |
1120 15th St Biw6033 Augusta GA 30912-0004 |
| Practice Telephone | 7067212331 |
| Practice Fax Number | 7067217531 |
| Mailing Telephone | 7067212331 |
| Mailing Fax Number | 7067217531 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
RN189087 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083269666 | Jaclyn Michelle Hall | Counselor | 14502 N Dale Mabry Hwy Ste 200, Tampa, FL 33618-2040 | 2019-08-09 |
| 1154721140 | Jaclyn Eva Hall | Dietitian, Registered | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2014-08-27 |
| Street Address |
1120 15TH ST BIW6033 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659641058 | Christy Marie Gardner | Nurse Practitioner | 1120 15th St # 6033, Augusta, GA 30912-0004 | 2012-01-03 |
| 1295238723 | Thuy Thu-thi Nguyen | Nurse Practitioner | 1120 15th St # 6033, Augusta, GA 30912-1067 | 2018-03-12 |
| 1104325828 | James Allan Carey | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2018-02-08 |
| 1598092694 | Cynthia Allyson Mundy | Nurse Practitioner | 1120 15th St, Dept of Pediatrics / Section of Neonatology Bt 5602, Augusta, GA 30912-0004 | 2009-11-10 |
| 1710115167 | Julie E Atkinson | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2009-06-24 |
| 1396955373 | Alan Robert Dahlmann | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2007-05-22 |
| 1679642110 | Joan Daniel Harper | Nurse Practitioner | 1350 Walton Way, University Hospital, Augusta, GA 30901-2612 | 2006-11-07 |
| 1811941859 | Kathy Patterson Ferguson | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2006-05-22 |
| 1699731406 | Bonita B Rushton | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2006-04-21 |
| 1689639361 | Karen Quinn | Nurse Practitioner | 1350 Walton Way, Pediatrix Medical Group, Augusta, GA 30901-2612 | 2006-04-18 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.