| Doctor Name: | MS. NINA LOU HALLUM |
| NPI Number: | 1851508915 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 0046086 |
| Business Practice Address: | 433 South 9th Street Jay, OK - 74346 |
| Business Phone Number: | 9182534511 |
| Business Fax Number: | 9182538419 |
| Mailing Address: | 9935 State Highway 28, EUCHA |
| State: | OK |
| Postal Code: | 743424033 |
| Phone Number: | 9182533479 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 0046086 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |