Provider Demographics
NPI:1679888119
Name:HALL, JAMES DEAN (APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DEAN
Last Name:HALL
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Gender:M
Credentials:APRN, NP-C
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Mailing Address - Street 1:145 CITIZENS LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-1320
Mailing Address - Country:US
Mailing Address - Phone:606-435-7642
Mailing Address - Fax:606-436-5282
Practice Address - Street 1:145 CITIZENS LN
Practice Address - Street 2:SUITE B
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-1320
Practice Address - Country:US
Practice Address - Phone:606-435-7642
Practice Address - Fax:606-436-5282
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2011-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY6475P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily