MRS. TINA TERESA HALL


Address: 29080 Marcus Ln, Highland, CA 92346-7763
Phone: 9096332648

MRS. TINA TERESA HALL (NPI# 1265762413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265762413
Entity Type Individual
Full Name MRS. TINA TERESA HALL
Other Name MRS. TINA TERESA KELLY
Credential FNP
Practice Address 29080 Marcus Ln
Highland
CA 92346-7763
Practice Telephone 9096332648
Mailing Telephone 9096332648
Enumeration Date 2010-01-12
Last Update Date 2010-01-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
415820 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
10120 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers TINA HALL

NPI Name Taxonomy Address Enumeration
1942287743 Tina D Hall Nurse Practitioner 1050 Freshour St, Ste A, Morristown, TN 37813-2210 2005-12-22
1578039707 Tina Hall Registered Nurse 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 2018-10-15
1114407392 Tina Marie Hall Counselor 856 Texas Ave, Shreveport, LA 71101-3400 2018-08-17
1366848442 Tina Hall Nurse Practitioner 3551 Roger Brooke Dr, Mche Qd (creds), Fort Sam Houston, TX 78234-4501 2014-11-17
1467663765 Tina Andrea Hall Social Worker 1425 Starr Ave, Toledo, OH 43605-2456 2007-05-25
1932317625 Tina Hall Speech-Language Pathologist 1518 Highway 71 Se, Mountainburg, AR 72946-3000 2007-05-18

Office Location

Street Address 29080 MARCUS LN
City HIGHLAND
State CA
Zip Code 92346-7763

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1124540687 Marylynn Katherine Barnes Nurse Practitioner 3100 45th St Ste 3, Highland, IN 46322-3277 2017-07-16
1508307471 Anne Lutostanski Nurse Practitioner 2 Keeven Ct, Highland, IL 62249-2403 2017-03-13
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1962857979 Iras Miller Nurse Practitioner 11255 N 5710 W, Highland, UT 84003-9042 2016-04-27
1598158180 Melissa Ann Cox Nurse Practitioner 7035 Palm Ave, Highland, CA 92346-3291 2015-03-06
1750700423 Persa Darnell Nurse Practitioner 3747 45th Ave., Highland, IN 46322 2014-04-10
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Competitor

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City HIGHLAND
Zip Code 92346

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Dataset Information

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.

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