Provider Demographics
NPI:1578502183
Name:HILL, JUDITH M (FNP)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:M
Last Name:HILL
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:4502 STARKEY ROAD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018
Mailing Address - Country:US
Mailing Address - Phone:540-387-9222
Mailing Address - Fax:540-387-4472
Practice Address - Street 1:4502 STARKEY RD
Practice Address - Street 2:SUITE 9
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-8541
Practice Address - Country:US
Practice Address - Phone:540-387-9222
Practice Address - Fax:540-387-4472
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2012-06-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024000078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily