Provider Demographics
NPI:1467975714
Name:HALL, JOANNA PAULINA (FNP)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:PAULINA
Last Name:HALL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:PAULINA
Other - Last Name:CHOREGIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1804 FOREST HILLS RD W
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-3413
Mailing Address - Country:US
Mailing Address - Phone:984-249-0558
Mailing Address - Fax:
Practice Address - Street 1:1804 FOREST HILLS RD W
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-3413
Practice Address - Country:US
Practice Address - Phone:984-249-0558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009682363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily