Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 19649 | TN |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APN0000019649 | TN |
NPI | 1003209982 |
---|---|
Provider Name | Rhonda C Hill |
First Address | Jasper, TN 37347-3696 |
Second Address | Jasper, TN 37347-3696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2015 |
Last Update Date | 25/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q021691 | (05) | TN |