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

Mrs. Jessica Ryan Hall, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1194165399

Mrs. Jessica Ryan Hall, CNP is a Nurse Practitioner in Lakeside Park, Kentucky. Qualified in 2012, 14 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Ohio.

Years since qualifying
14
Licensed in
KY, OH
In the registry since
2013
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

2300 Chamber Center Dr
Lakeside Park, KY 41017
Phone: (859) 655-7040
Fax: (859) 331-2021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6949 Good Samaritan Dr, Cincinnati, OH 45247-5204 — (513) 931-2400

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3013821 (KY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence COA.14129-NP (OH)

Record details

NPI number1194165399
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 2, 2013
Last updated in NPPESSeptember 17, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services