Provider Demographics
NPI:1275142887
Name:HALL, ALYSSA FAITH (MSN APRN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:FAITH
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 1:3815 RIVER CROSSING PARKWAY
Mailing Address - Street 2:SET 100
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-7472
Mailing Address - Country:US
Mailing Address - Phone:812-774-4279
Mailing Address - Fax:
Practice Address - Street 1:3815 RIVER CROSSING PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240
Practice Address - Country:US
Practice Address - Phone:844-753-3314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28222872A163W00000X
390200000X
IN71010322A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program