Provider Demographics
NPI:1770855215
Name:HILL, JANICE S (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:S
Last Name:HILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 LAKESHORE DR S
Mailing Address - Street 2:
Mailing Address - City:IVEY
Mailing Address - State:GA
Mailing Address - Zip Code:31031-3537
Mailing Address - Country:US
Mailing Address - Phone:478-456-9296
Mailing Address - Fax:478-628-6042
Practice Address - Street 1:103 SOUTH 4TH STREET
Practice Address - Street 2:
Practice Address - City:MCINTYRE
Practice Address - State:GA
Practice Address - Zip Code:31054
Practice Address - Country:US
Practice Address - Phone:478-456-9296
Practice Address - Fax:478-628-6042
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN102334163WC1500X
373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist