Provider Demographics
NPI:1003209982
Name:HILL, RHONDA C (APN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:C
Last Name:HILL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 HIGHWAY 28
Mailing Address - Street 2:STE 100
Mailing Address - City:JASPER
Mailing Address - State:TN
Mailing Address - Zip Code:37347-3696
Mailing Address - Country:US
Mailing Address - Phone:423-939-1500
Mailing Address - Fax:423-939-1503
Practice Address - Street 1:980 HIGHWAY 28
Practice Address - Street 2:STE 100
Practice Address - City:JASPER
Practice Address - State:TN
Practice Address - Zip Code:37347-3696
Practice Address - Country:US
Practice Address - Phone:423-939-1500
Practice Address - Fax:423-939-1503
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000019649363LF0000X
TN19649363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ021691Medicaid
TNQ021691Medicaid