Provider Demographics
NPI:1164204483
Name:HALL, ALLYSON MORRISS (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:MORRISS
Last Name:HALL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23347 CABIN POINT RD
Mailing Address - Street 2:
Mailing Address - City:DISPUTANTA
Mailing Address - State:VA
Mailing Address - Zip Code:23842-4176
Mailing Address - Country:US
Mailing Address - Phone:804-586-2901
Mailing Address - Fax:
Practice Address - Street 1:16021 KAIROS RD STE A
Practice Address - Street 2:
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23834-5208
Practice Address - Country:US
Practice Address - Phone:804-368-6680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024188482363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily