Tiffany Lauren Hall, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Boyd, TX

NPI 1699375352 · NPPES record last updated Oct 30, 2020

Key facts

NPI
1699375352
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1018199 (TX)
Practice address
308 W Rock Island
Boyd, TX 76023
Phone
(940) 279-7111
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1018199TXMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1018199 TX Yes

Addresses

Primary practice location

308 W Rock Island
Boyd, TX 76023

Mailing address

308 W Rock Island
Boyd, TX 76023
Phone (940) 279-7111

Other providers in Boyd, TX

All providers in Boyd, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.