Provider Demographics
NPI:1407917289
Name:HILL, KERAN SEVENISE (FNP, NP-C)
Entity Type:Individual
Prefix:MS
First Name:KERAN
Middle Name:SEVENISE
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13423 229TH ST
Mailing Address - Street 2:
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-2516
Mailing Address - Country:US
Mailing Address - Phone:718-527-1991
Mailing Address - Fax:
Practice Address - Street 1:50 JAY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1144
Practice Address - Country:US
Practice Address - Phone:718-222-6600
Practice Address - Fax:718-222-6683
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333879363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily