Provider Demographics
NPI:1386084655
Name:HALL, JESSICA FAYE (PA-C)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:FAYE
Last Name:HALL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:220 GRACES WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-1613
Mailing Address - Country:US
Mailing Address - Phone:803-736-4560
Mailing Address - Fax:803-744-1217
Practice Address - Street 1:220 GRACES WAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-1613
Practice Address - Country:US
Practice Address - Phone:803-736-4560
Practice Address - Fax:803-744-1217
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2024-07-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical