Provider Demographics
NPI:1689070104
Name:OAKS, HILLARY MICHAEL NICOLE (FNP-C)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:MICHAEL NICOLE
Last Name:OAKS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:MICHAEL NICOLE
Other - Last Name:WILLETS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3250 MIDDLE URBANA RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-9285
Mailing Address - Country:US
Mailing Address - Phone:937-399-7777
Mailing Address - Fax:937-399-6794
Practice Address - Street 1:7790 DAYTON SPRINGFIELD RD STE B
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-1996
Practice Address - Country:US
Practice Address - Phone:937-340-6440
Practice Address - Fax:937-340-6441
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA16808-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0113687Medicaid