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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 014712900 | 05 |
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 |
Street Address |
280 FLETCHER DR |
City | GAINESVILLE |
State | FL |
Zip Code | 32611 |
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 |
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 Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
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 |
City | GAINESVILLE |
Zip Code | 32611 |
Please comment or provide details below to improve the information on STACEY JACKSON HALL.
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.