Provider Demographics
NPI:1417295551
Name:HALL LEE, TAMEKA W (FNP)
Entity Type:Individual
Prefix:MS
First Name:TAMEKA
Middle Name:W
Last Name:HALL LEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TAMEKA
Other - Middle Name:W
Other - Last Name:HALL LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FAMILY NURSE PRACTIT
Mailing Address - Street 1:50 NEPPERHAN ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-3800
Mailing Address - Country:US
Mailing Address - Phone:302-363-8739
Mailing Address - Fax:
Practice Address - Street 1:50 NEPPERHAN ST APT 2205
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-3848
Practice Address - Country:US
Practice Address - Phone:302-363-8739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY724369163WP0200X
NYF353383363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0200XNursing Service ProvidersRegistered NursePediatrics