Provider Demographics
NPI:1417592478
Name:HILL, ERIKA REGINA (NP)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:REGINA
Last Name:HILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17543 NW 235TH ST
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-6303
Mailing Address - Country:US
Mailing Address - Phone:352-256-0011
Mailing Address - Fax:
Practice Address - Street 1:17543 NW 235TH ST
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-6303
Practice Address - Country:US
Practice Address - Phone:352-256-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027528363LF0000X
FLAPRN11004722363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily