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

Ruby S Hall

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053157925

Ruby S Hall is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5012
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence T-5875 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053157925
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address2500 N State St, Jackson, MS 39216-4500

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