| Doctor Name: | MRS. ANITA CHARLENE HALL |
| NPI Number: | 1801909916 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R702439 |
| Business Practice Address: | 2120 Hwy. 49 North Family Care Of Seminary Seminary, MS - 39479 |
| Business Phone Number: | 6017223610 |
| Business Fax Number: | 6017229985 |
| Mailing Address: | 701 South Holly Ave., Family Care Of Seminary COLLINS |
| State: | MS |
| Postal Code: | 39428 |
| Phone Number: | 6017223610 |
| Fax Number: | 6017229985 |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 01/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R702439 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |