Provider Demographics
NPI:1932740578
Name:HALL, FELISA JEANNETTE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:FELISA
Middle Name:JEANNETTE
Last Name:HALL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 FINDLAY ST
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-7646
Mailing Address - Country:US
Mailing Address - Phone:601-596-4976
Mailing Address - Fax:
Practice Address - Street 1:1046 DIVISION ST
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-2935
Practice Address - Country:US
Practice Address - Phone:228-394-4991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2022-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902891363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily