Provider Demographics
NPI:1285203174
Name:HALL, JOANNA CHRISTINE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:CHRISTINE
Last Name:HALL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4601 OLD SHEPARD PL STE 301
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5377
Mailing Address - Country:US
Mailing Address - Phone:214-820-8700
Mailing Address - Fax:
Practice Address - Street 1:4601 OLD SHEPARD PL STE 301
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5377
Practice Address - Country:US
Practice Address - Phone:214-820-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant