Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Ann Hales, NP-CF05200177

Individual provider Vascular Surgery Physician · NPI 1285241265

Jennifer Ann Hales, NP-CF05200177 is a Nurse Practitioner in Savannah, Georgia. Qualified in 2020, 6 years ago. Practices with St Joseph's Vascular Group, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

11909 McAuley Dr Ste 1002A
Savannah, GA 31419-1793
Phone: (912) 354-8331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN196020 (GA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence RN196020 (GA)

Record details

NPI number1285241265
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-CF05200177
Sole proprietorYes
NPI enumeratedSeptember 24, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St. Joseph'S Vascular Group, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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