Andrea Michelle Hall, NP
Nurse Practitioner, Psych/Mental Health in Fort Eisenhower, GA. Individual provider (NPI-1).
NPI number1104576271
StatusActive
Last updated in NPPESMar 18, 2025
Details
- NPI
- 1104576271
- Entity type
- Individual (NPI-1)
- Name
- Andrea Michelle Hall
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2022
- Certification date
- Mar 14, 2025
- Last updated
- Mar 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN308216 | GA | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95019371 | CA | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APRN-5100 | HI |
Practice location
300 E. Hospital Rd.Fort Eisenhower, GA 30905
Phone 706-787-5605
Mailing address
Po Box 26Grovetown, GA 30813-0026
Phone 216-269-2104
Other practice locations
1225 W 190th St Ste 280
Gardena, CA 90248-4305
Gardena, CA 90248-4305
Phone 877-515-8113
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