Most Relevant Information
Provider Data
| NPI Number: | 1003413840 |
| Provider Name: | JENNIFER HALLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/05/2020 |
| Last Updated: | 10/05/2020 |
Provider Practice Location
301 N PRESTON RD STE B
PROSPER
TX
750788876
Practice Location Phone/Fax
| Phone: | 4694008357 |
| Fax: |
Provider Mailing Location
301 N PRESTON RD STE B
PROSPER
TX
750788876
Provider Mailing Phone/Fax
| Phone: | 4694008357 |
| Fax: |