Provider Demographics
NPI:1003232430
Name:HILLEY, JANICE B (CRNP)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:B
Last Name:HILLEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:7079 SHELL BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:DE
Mailing Address - Zip Code:19956-3960
Mailing Address - Country:US
Mailing Address - Phone:610-506-8561
Mailing Address - Fax:
Practice Address - Street 1:701 MIDDLEFORD RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3600
Practice Address - Country:US
Practice Address - Phone:302-629-2571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELP-0000303363L00000X
PASP013447363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1003232430Medicaid