Jason W Hall, RN
Individual provider Active NPI Registered Nurse · Martinsburg, WV
NPI 1669636726 · NPPES record last updated Jul 17, 2008
Key facts
- NPI
- 1669636726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 55974 (WV)
- Practice address
- 510 Butler Ave
Martinsburg, WV 25405-9990 - Phone
- (304) 263-0811
- NPI assigned
- Jul 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55974 | WV | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 55974 | WV | Yes |
Addresses
Primary practice location
510 Butler Ave
Martinsburg, WV 25405-9990
Mailing address
510 Butler Ave
Martinsburg, WV 25405-9990
Phone (304) 263-0811
Other providers in Martinsburg, WV
- Rachel Hain
- Nathan Hale
- Shelley J Hale
- Connor Hall
- Ezra Hall
- Julie Corbin Hall
- Marci Ann Hall
- Marcus Hall
- Nicki Hall
- Alan F Hamilton
All providers in Martinsburg, WV · Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.