Provider Demographics
NPI:1568024511
Name:HILL, CIJI DIONNE (NP)
Entity Type:Individual
Prefix:
First Name:CIJI
Middle Name:DIONNE
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 1:6186 GLEN HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:LIZELLA
Mailing Address - State:GA
Mailing Address - Zip Code:31052-4603
Mailing Address - Country:US
Mailing Address - Phone:404-583-3185
Mailing Address - Fax:
Practice Address - Street 1:6186 GLEN HOLLY DR
Practice Address - Street 2:
Practice Address - City:LIZELLA
Practice Address - State:GA
Practice Address - Zip Code:31052-4603
Practice Address - Country:US
Practice Address - Phone:404-583-3185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-30
Last Update Date:2019-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN1919996363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner