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Holly E Hall
Family Nurse Practitioner in Rockford, Illinois
NPI 1528776168

Holly E Hall is a Family Nurse Practitioner based in Rockford, IL and is specialized in Family. Holly E Hall practices in Rockford, IL. The NPI Number for Holly E Hall is 1528776168 and holds a License No. 209026044 (Illinois).

The current practice location address for Holly E Hall is 209 9Th St, Rockford, IL and can be reached out via phone at 779-696-2750.

Location: 209 9Th St, Rockford, IL, 61104-2235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528776168
Provider Name
Holly E Hall
Credential
Provider Entity Type
Individual
Gender
Female
Address
209 9Th St, Rockford, IL, 61104-2235
Phone Number
779-696-2750
Fax Number
Provider Enumeration Date
11/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209026044 01 IL NP LICENSE
institution
Provider Business Practice Location Address Details
Address
209 9Th St
City
Rockford
State
Illinois
Zip
61104-2235
Phone Number
779-696-2750
Fax Number
person
Provider Business Mailing Address Details
Address
209 9Th St
City
Rockford
State
Illinois
Zip
61104-2235
Phone Number
779-696-2750
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209026044 (Illinois)
Definition
Definition to come...
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