Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN#15558 | TN |
NPI | 1003114737 |
---|---|
Provider Name | Mrs. Elisha Ford Hill |
First Address | Hendersonville, TN 37075-6214 |
Second Address | Hendersonville, TN 37075-2379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2011 |
Last Update Date | 16/12/2015 |