Provider Demographics
NPI:1346217957
Name:HILLS, JOCELYN (NP)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:HILLS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:HILLS
Other - Last Name:BEASLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 3726
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30914-3726
Mailing Address - Country:US
Mailing Address - Phone:706-863-9595
Mailing Address - Fax:888-745-3917
Practice Address - Street 1:3675 J DEWEY GRAY CIRCLE
Practice Address - Street 2:SUITE 300
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-1868
Practice Address - Country:US
Practice Address - Phone:706-863-9595
Practice Address - Fax:888-745-3917
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID60830363L00000X
LAAP06425363L00000X
MS879307363L00000X
NC5013209363L00000X
NV819038363L00000X
TNAPN0000008218363L00000X
TXAP128778363L00000X
VA0024179190363L00000X
COAPN.00991770-NP363L00000X
SCR69552363L00000X
AR188404363L00000X
FLAPRN9335813363L00000X
GARN145084363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA989893827AMedicaid
SCNP0770Medicaid
GA989893827AMedicaid
SCNP0770Medicaid
50BBHGKMedicare PIN
GAP84756Medicare UPIN