Provider Demographics
NPI:1639125859
Name:HALL, JENNIFER JANET (MD)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:JANET
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:206 ASHELAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801
Mailing Address - Country:US
Mailing Address - Phone:828-258-8681
Mailing Address - Fax:828-523-4830
Practice Address - Street 1:1219 SMOKEY PARK HWY
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715
Practice Address - Country:US
Practice Address - Phone:828-258-8681
Practice Address - Fax:828-253-4830
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK4892207Q00000X
NC2008-01139207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine