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TINA HALL

Family Nurse Practitioner

NPI: 1578039707IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

209.018461(IL)
Registered Nurse

Registered Nurse

Code: 163W00000X

041.394076(IL)
Dermatology Physician

Dermatology

Code: 207N00000X

209018461(IL)
Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

209018461(IL)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2018

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Contact & Hours

Address
4107 S WATER TOWER PL
MOUNT VERNON, IL 62864

Quick Facts

NPI
1578039707
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
4
Locations
1
Years in Practice
8

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