Provider Demographics
NPI:1235826926
Name:HILL, FELICIA ANTOINETTE (RN)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:ANTOINETTE
Last Name:HILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6974 SUMMERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3978
Mailing Address - Country:US
Mailing Address - Phone:937-671-0916
Mailing Address - Fax:937-236-3966
Practice Address - Street 1:19 GRAMONT AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-2254
Practice Address - Country:US
Practice Address - Phone:937-671-0916
Practice Address - Fax:937-236-3966
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-287602163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty