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

Mrs. Mary Lydia Hall, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1902366495

Mrs. Mary Lydia Hall, AGPCNP is an Adult Health Nurse Practitioner in Brandon, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019

Practice location Address checks out

501 Avalon Way Ste C
Brandon, MS 39047-7500
Phone: (601) 573-7012
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 903270 (MS)

Record details

NPI number1902366495
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedMarch 21, 2019
Last updated in NPPESJune 11, 2019

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