JACK TYSON HALL (NPI# 1669930145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669930145 |
| Entity Type | Individual |
| Full Name | JACK TYSON HALL |
| Credential | FNP-C |
| Practice Address |
400 Taylor Rd Montgomery AL 36117-3512 |
| Practice Telephone | 3342778330 |
| Mailing Telephone | 3342778330 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-123271 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285269662 | Jack Reynolds Hall IIi | Specialist/Technologist | 6339 Middle Ground Rd, Statesboro, GA 30461-8434 | 2020-03-06 |
| 1740605906 | Jack Brian Hall I | Pharmacist | 3360 Front St, Winnsboro, LA 71295-6487 | 2014-02-25 |
| 1619284239 | Jack E Hall | Physician Assistant | 121 S Crescent Dr, Pueblo West, CO 81007-5434 | 2010-09-02 |
| 1639228331 | Jack Grey Hall | Optometrist | 3801 Pelandale Ave, Modesto, CA 95356-8300 | 2007-01-10 |
| 1558337857 | Jack J Hall | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2006-02-27 |
| 1881676427 | Jack E Hall Jr. | Physician Assistant | 100 Mercy Way, Ste 430, Joplin, MO 64804-4524 | 2005-11-18 |
| Street Address |
400 TAYLOR RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417926056 | Johnathon R Munoz | Emergency Medicine | 400 Taylor Rd, Montgomery, AL 36117-3512 | 2006-03-16 |
| 1699303347 | Marlee Munroe | Registered Nurse | 400 Taylor Rd, Montgomery, AL 36117-3512 | 2020-03-30 |
| 1528690542 | Amy Mansnerus Jones | Registered Nurse | 400 Taylor Rd, Montgomery, AL 36117-3511 | 2020-02-07 |
| 1578195871 | Lauren Hicks | Registered Nurse | 400 Taylor Rd, Montgomery, AL 36117-3512 | 2020-02-05 |
| 1447880968 | Tyler Dalton Turner | Student in an Organized Health Care Education/Training Program | 400 Taylor Rd, Montgomery, AL 36117-3512 | 2020-01-23 |
| 1184264400 | Cortney Petty | Registered Nurse | 400 Taylor Rd, Montgomery, AL 36117-3512 | 2020-01-14 |
| 1174166086 | A. Daniell Rose | Registered Nurse | 400 Taylor Rd, Montgomery, AL 36117-3512 | 2019-10-23 |
| 1396308425 | Nichole Paulk | Registered Nurse | 400 Taylor Rd, Montgomery, AL 36117-3511 | 2019-04-15 |
| 1730641101 | Kerri Hamilton Jones | Nurse Practitioner | 400 Taylor Rd, Montgomery, AL 36117-3511 | 2019-04-03 |
| 1447711627 | Christina B. Lynn | Registered Nurse | 400 Taylor Rd, Montgomery, AL 36117-3512 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on JACK TYSON 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.