Provider Demographics
NPI:1023695384
Name:HALL, VERONICA ISABEL (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:ISABEL
Last Name:HALL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14535 JOHN MARSHALL HWY STE 105
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-4024
Mailing Address - Country:US
Mailing Address - Phone:703-754-0425
Mailing Address - Fax:703-754-2888
Practice Address - Street 1:14535 JOHN MARSHALL HWY STE 105
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-4024
Practice Address - Country:US
Practice Address - Phone:703-754-0425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181181363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily