STACEY JACKSON HALL


Address: 280 Fletcher Dr, Gainesville, FL 32611
Phone: 3523947476

STACEY JACKSON HALL (NPI# 1346688025) 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) 1346688025
Entity Type Individual
Full Name STACEY JACKSON HALL
Credential ARNP
Practice Address 280 Fletcher Dr
Gainesville
FL 32611
Mailing Address 280 Fletcher Dr
Po Box 117500
Gainesville
FL 32611-7500
Practice Telephone 3523947476
Mailing Telephone 3523947476
Enumeration Date 2013-06-04
Last Update Date 2018-07-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
9309665 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 014712900 05

Other Providers STACEY HALL

NPI Name Taxonomy Address Enumeration
1013415124 Stacey M Hall Massage Therapist 5 Nassau Blvd, Garden City, NY 11530-5340 2018-01-24
1447535364 Stacey Diane Hall Audiologist 1209 E 9th St, Bonham, TX 75418-4059 2011-10-12
1295993392 Stacey Lynn Hall Physical Medicine & Rehabilitation 1333 Moursund, Tirr Memorial Hermann, Houston, TX 77030 2008-05-27
1760692099 Stacey S Hall Dentist 5231 Monticello Ave., Suite E, Williamsburg, VA 23188 2007-05-23
1902926215 Stacey Denise Hall Physical Therapist 10518 Kettering Dr, # 710, Charlotte, NC 28226-4742 2007-03-30
1053458372 Stacey Hall II Case Manager/Care Coordinator 8526 Morning Oak Ln, Cypress, TX 77433-1499 2007-01-30
1174170054 Stacey Hall Pharmacist 263 W Morgan St, Knightstown, IN 46148-9312 2019-08-24
1407319494 Stacey Hall Counselor 609 E Church St, Booneville, MS 38829-3711 2019-04-08
1760950547 Stacey L Hall Nurse Practitioner 1420 W Baddour Pkwy Ste 100, Lebanon, TN 37087-1510 2018-11-09
1164910881 Stacey M Hall Social Worker 901 7th Ave Ste 2100, Fort Worth, TX 76104-2722 2018-04-27

Office Location

Street Address 280 FLETCHER DR
City GAINESVILLE
State FL
Zip Code 32611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780724773 Student Health Pharmacy At The University of Florida Pharmacy 280 Fletcher Dr, Gainesville, FL 32611-2038 2007-02-07
1821509936 Candace Kuphal Nurse Practitioner 280 Fletcher Dr, Gainesville, FL 32611 2017-10-16
1255866448 Jonathan Aubry Student in an Organized Health Care Education/Training Program 280 Fletcher Dr, Gainesville, FL 32611-1035 2017-04-25
1073989547 Maidelys Rohan Nurse Practitioner 280 Fletcher Dr, Gainesville, FL 32611-2038 2015-08-19
1407296726 Kirsty Freshwater Nurse Practitioner 280 Fletcher Dr, Gainesville, FL 32611-2038 2013-07-01
1013253137 Meghan Anne Edgar Pharmacist 280 Fletcher Dr, Gainesville, FL 32611-2038 2012-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235607813 Sayuri Kitada Student in an Organized Health Care Education/Training Program 1908 Stadium Road, Gainesville, FL 32611 2018-11-13
1780938621 Analesa Clarke Psychologist 3190 Radio Rd, Gainesville, FL 32611 2012-10-30
1659496107 J. Chris Patrick Specialist/Technologist Bhg Stadium, Gale Lemerand Dr., Gainesville, FL 32611 2007-03-20
1780711424 Susan A Donaldson Nurse Practitioner 101 S Newell Avenue, Gainesville, FL 32611 2007-02-28
1225117039 Lance S. Governale Neurological Surgery 1149 South Newell Drive;, Univ of Florida; Dept of Neurosurgery; Room L2-100, Gainesville, FL 32611 2006-11-03
1851493191 Larry Markel Lopez Pharmacist 101 South Newell Dr., Hpnp Bldg 212; Room 3309, Gainesville, FL 32611 2006-09-05
1194708065 Pamela Pieper Nurse Practitioner 101 S Newell Drive, Gainesville, FL 32611 2005-11-23
1003436130 Gerald Richardson IIi Student in an Organized Health Care Education/Training Program 100 Newell Dr, Gainesville, FL 32611 2020-04-18
1033774120 George Joseph Raineri Student in an Organized Health Care Education/Training Program 100 S Newell Dr, L4100, Mcknight Brain Institute, Gainesville, FL 32611 2019-05-05
1962907691 Regan Kemp Specialist/Technologist 3150 Hull Rd, Gainesville, FL 32611 2018-03-26
Find all providers in zip 32611

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316361223 Regina Diane Chisum Nurse Practitioner 1902 Hospital Blvd Ste B, Gainesville, TX 76240-2008 2014-02-12
1861621385 Deanna Sue Littell Nurse Practitioner 914 Nw 13th St, Gainesville, FL 32601-4140 2009-07-06
1104964006 Jennifer Leech Nurse Practitioner 1498 Jesse Jewell Pkwy Se Ste C, Gainesville, GA 30501-3874 2007-02-02
1528503422 Amanda Nicole Mcclay Nurse Practitioner 7500 Iron Bar Ln, Suite 219, Gainesville, VA 20155-3603 2016-12-31
1649715780 Susan Elizabeth Walling Nurse Practitioner 1290 Athens St, Gainesville, GA 30507-7000 2016-12-28
1386091841 Angela Laxson Nurse Practitioner 668 Lanier Park Dr, Gainesville, GA 30501-2061 2016-05-15
1770944373 Kathryn Martin Weeks Nurse Practitioner 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 2016-03-10
1427413285 Nicky S Tomblin Nurse Practitioner 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 2015-12-22
1811372964 Rebekah Mildenhall Nurse Practitioner 440 Washington St Se, Gainesville, GA 30501-3619 2015-07-29
1437317617 Gail M. Osteen Nurse Practitioner 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2008-05-24
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 32611

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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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