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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JESSICA RYAN HALL, CNP

Active

MRS. JESSICA RYAN HALL, CNP is a Nurse Practitioner healthcare provider located in LAKESIDE PARK, Kentucky. NPI 1194165399 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LAKESIDE PARK, KY

Registration Details

NPI Number
1194165399
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2013 (13.085284369569 yrs)
Last Updated
Sep 17, 2019
Licenses
COA.14129-NP (OH)
3013821 (KY)

Practice Information

Address
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY, 41017
Browse KY providers · Browse ZIP 41017
Phone
8596557040
Fax
8593312021
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.