Jacquelyn Hall-Davis, MD Ltd
Jacquelyn Hall-Davis, MD Ltd is a Child & Adolescent Psychiatry Physician in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1669 Windham Way Ste BO Fallon, IL 62269-3072
Phone: (618) 622-9240
Fax: (618) 622-9241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X · Licence 036080270 (IL) |
|---|
Record details
| NPI number | 1699173542 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacquelyn Hall-Davis — President · (618) 622-9240 |
| NPI enumerated | December 9, 2014 |
| Last updated in NPPES | December 9, 2014 |
| Mailing address | 1669 Windham Way, Suite B, O Fallon, IL 62269-3072 |
Other providers in O Fallon
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Dr. Jacquelyn Hall-Davis, MD
1669 Windham Way Ste B, O Fallon, IL 62269-3072 · (618) 622-9240