Provider Demographics
NPI:1699391979
Name:HALL EL, JASMINE (CPT)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:HALL EL
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 BRACYRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-4013
Mailing Address - Country:US
Mailing Address - Phone:336-601-1889
Mailing Address - Fax:
Practice Address - Street 1:2307 BRACYRIDGE RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-4013
Practice Address - Country:US
Practice Address - Phone:336-601-1889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer