JOELLA CAULEY HALL ARNP NPI 1104080761

NPI Information

NPI: 1104080761
Provider Name: JOELLA CAULEY HALL, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3760 PEAR AVE
BUNNELL, FL
ZIP 32110
Phone: (386) 793-6628
Get Directions

Joella Cauley Hall, ARNP is a family nurse practitioner in Bunnell, FL. Joella Cauley Hall, ARNP NPI is 1104080761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3760 PEAR AVE
BUNNELL, FL
ZIP 32110-887
Phone: (386) 793-6628
Fax: (386) 437-5912

The NPI 1104080761 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2008 and was last updated on 8/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3008318	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	ARNP9216912	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K088380	MEDICARE PIN	KENTUCKY
2	P01277790	OTHER	KENTUCKY	RAILROAD MEDICARE
3	K088382	MEDICARE PIN	KENTUCKY
4	18664848049	MEDICARE OSCAR/CERTIFICATION	FLORIDA
5	K088381	MEDICARE PIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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