Provider Demographics
NPI:1740978725
Name:HALL-LOYD, TRELLA PRISCILLA (FNP)
Entity type:Individual
Prefix:
First Name:TRELLA
Middle Name:PRISCILLA
Last Name:HALL-LOYD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TRELLA
Other - Middle Name:PRISCILLA
Other - Last Name:HALL-BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4427 CARA HILL LANE
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831
Mailing Address - Country:US
Mailing Address - Phone:478-279-2836
Mailing Address - Fax:
Practice Address - Street 1:4427 CARA HILL LANE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831
Practice Address - Country:US
Practice Address - Phone:478-279-2836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024186820363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily