Provider Demographics
NPI:1083069835
Name:HILL, ANDREA JACLYN (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:JACLYN
Last Name:HILL
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
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Mailing Address - Street 1:8906 SPANISH RIDGE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1319
Mailing Address - Country:US
Mailing Address - Phone:702-330-3102
Mailing Address - Fax:702-912-4994
Practice Address - Street 1:653 N TOWN CENTER DR STE 204
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0516
Practice Address - Country:US
Practice Address - Phone:702-382-2900
Practice Address - Fax:702-382-1980
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV002207363LF0000X
NVAPRN002207363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily