Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APN13397 | TN |
NPI | 1003074378 |
---|---|
Provider Name | Lisa A Hill |
First Address | Nashville, TN 37244-0100 |
Second Address | Murfreesboro, TN 37130-3059 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 23/05/2008 |