Provider Demographics
NPI:1841603883
Name:HALL, JOY (ARNP)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 773663
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34477-3663
Mailing Address - Country:US
Mailing Address - Phone:352-897-0063
Mailing Address - Fax:866-502-8021
Practice Address - Street 1:9401 SW HIGHWAY 200 STE 2004
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-9619
Practice Address - Country:US
Practice Address - Phone:352-897-0063
Practice Address - Fax:866-502-8021
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-07
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9211707363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012228700Medicaid