Provider Demographics
NPI:1093711442
Name:HILL, LINDA G (FNP, BC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:G
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2371
Mailing Address - Street 2:
Mailing Address - City:GLEN ROSE
Mailing Address - State:TX
Mailing Address - Zip Code:76043-2371
Mailing Address - Country:US
Mailing Address - Phone:254-898-8499
Mailing Address - Fax:254-898-8506
Practice Address - Street 1:1009 NE BIG BEND TRAIL
Practice Address - Street 2:
Practice Address - City:GLEN ROSE
Practice Address - State:TX
Practice Address - Zip Code:76043
Practice Address - Country:US
Practice Address - Phone:254-898-8499
Practice Address - Fax:254-898-8506
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0064HWOtherBCBS OF TEXAS
TX039614502Medicaid
TX421533061OtherTAX ID #
TX152145201Medicaid
TX8Y3991OtherBCBS OF TEXAS - HOOD
TX152145201Medicaid
TX00786TMedicare ID - Type Unspecified