| John Vincent Hall Jr, NP | |
|
64167 Highway 41 Ste C, Pearl River, LA 70452-3638 | |
| (985) 250-9700 | |
| (844) 899-5208 |
| Full Name | John Vincent Hall Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 64167 Highway 41 Ste C, Pearl River, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548679244 | NPI | - | NPPES |
| 2409964 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R889798 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP08096 (Louisiana) | Primary |
| Entity Name | Orange Grove Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831330661 PECOS PAC ID: 6103978721 Enrollment ID: O20090713000442 |
| Entity Name | Diamondhead Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659673606 PECOS PAC ID: 6305028051 Enrollment ID: O20110316000859 |
| Mailing Address | Practice Location Address |
|---|---|
| John Vincent Hall Jr, NP 1301 S Shivers St, Poplarville, MS 39470-3225 Ph: (601) 270-0038 | John Vincent Hall Jr, NP 64167 Highway 41 Ste C, Pearl River, LA 70452-3638 Ph: (985) 250-9700 |
Breanna Jewell Newson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 64410 Highway 41, Pearl River, LA 70452 Phone: 985-256-4712 | |
Ms. Cheryl E Hurlburt, APRN/NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 507 Hermitage Ct, Pearl River, LA 70452 Phone: 985-863-2828 | |
Ms. Ruthie Anita Long, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 64629 Highway 41, Pearl River, LA 70452 Phone: 985-863-7100 Fax: 985-863-0085 | |
Mikshira Marie Mosely, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 64410 La-41, Pearl River, LA 70452 Phone: 985-256-4712 |