Hall, Mary Alice

Hall, Mary Alice is an individual health care provider with primary practice located at 9140 Highway 51 N # South , Southaven MS 38671-1233. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Hall, Mary Alice can be contacted via phone (662) 280-8222.

Contact Information

Primary practice address
9140 Highway 51 N # South Southaven MS 38671-1233
Phone: (662) 280-8222
Fax: (662) 280-5541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN0000158536 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 14352 Tennessee

Profile Details

NPI number 1013145499
LBN Legal business name Hall, Mary Alice
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2009
Last updated Mar 17th, 2018 - about 8 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 1013145499 NPPES
Tennessee Other RN0000158536 RN LICENSE
Tennessee Other 892560 RN LICENSE

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