Hall, Anita Charlene

Hall, Anita Charlene is an sole proprietor health care provider with primary practice located at 8990 Lorraine Rd , Gulfport MS 39503-4176. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hall, Anita Charlene can be contacted via phone (228) 331-3310.

Contact Information

Primary practice address
8990 Lorraine Rd Gulfport MS 39503-4176
Phone: (228) 331-3310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R702439 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R702439 Mississippi

Profile Details

NPI number 1801909916
LBN Legal business name Hall, Anita Charlene
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Feb 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801909916 NPPES
Mississippi MEDICAID 05250546
Mississippi MEDICAID 891008760

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