GAIL JEAN WALL PA
NPI 1700092095
Physician Assistant - Medical in Daytona Beach, FL

Q: What is Gail Wall's NPI number?

The NPI number for Gail Wall is 1700092095. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Gail Wall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Gail Wall was last updated on September 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 15, 2007

431 SOUTH KEECH STREET, HALIFAX HEALTH KEECH CENTER, DAYTONA BEACH, FL 32114(386) 947-3553(386) 239-6189 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gail Jean Wall Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAIL JEAN WALL PA (NPI 1700092095) is an individual medical provider in Daytona Beach, Florida, licensed in Florida (PA0001553) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1700092095

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameGAIL JEAN WALLCredential: PA

Location Address431 SOUTH KEECH STREET, HALIFAX HEALTH KEECH CENTERDaytona Beach, FL 32114-4623

Mailing Address431 South Keech Street, Halifax Health Keech CenterDaytona Beach, FL 32114-4623 · (386) 947-3553 · Fax (386) 239-6189

Phone(386) 947-3553

Fax(386) 239-6189

Sole ProprietorNo

Enumeration DateMay 15, 2007

Last NPPES UpdateSeptember 11, 2009

✔ NPI 1700092095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA0001553

431 SOUTH KEECH STREET, Daytona Beach, FL 32114

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Other Identifiers 3

Medicaid290055600FL

OtherPA0001553FL · Physician Assist License

Medicare PINE4847WFL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gail Wall's NPI number?

The NPI number for Gail Wall is 1700092095. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Gail Wall located?

Gail Wall practices at 431 South Keech Street Halifax Health Keech Center, Daytona Beach, FL 32114. The listed phone number is (386) 947-3553.

What is Gail Wall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gail Wall was last updated on September 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.