Provider Demographics
NPI:1093994451
Name:HOOSER, HILLARY BESS (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:BESS
Last Name:HOOSER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:HILLARY
Other - Middle Name:NICOLE
Other - Last Name:BESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:319 W. TOWN PLACE
Mailing Address - Street 2:STE 1
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092
Mailing Address - Country:US
Mailing Address - Phone:904-940-1577
Mailing Address - Fax:904-940-1916
Practice Address - Street 1:319 W. TOWN PLACE
Practice Address - Street 2:STE 1
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092
Practice Address - Country:US
Practice Address - Phone:904-940-1577
Practice Address - Fax:904-940-1916
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9269553363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL308780800Medicaid
AI753ZMedicare PIN
FLA1753YMedicare PIN