Hall, Tina D

Hall, Tina D is an individual health care provider with primary practice located at 1050 Freshour St Ste A, Morristown TN 37813-2210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hall, Tina D can be contacted via phone (423) 581-1479.

Contact Information

Primary practice address
1050 Freshour St Ste A Morristown TN 37813-2210
Phone: (423) 581-1479
Fax: (423) 586-7488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6650 Tennessee

Profile Details

NPI number 1942287743
LBN Legal business name Hall, Tina D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jun 29th, 2020 - about 6 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 1942287743 NPPES
Tennessee Other 4066177 BLUE CROSS BLUE SCHEILD
Tennessee MEDICAID 1513604 BLUE CROSS BLUE SCHEILD

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