Provider Demographics
NPI:1780223685
Name:HILL, ESTELLA JANEAN (ACAGNP)
Entity Type:Individual
Prefix:
First Name:ESTELLA
Middle Name:JANEAN
Last Name:HILL
Suffix:
Gender:F
Credentials:ACAGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 WAYLINE CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-6451
Mailing Address - Country:US
Mailing Address - Phone:864-941-2748
Mailing Address - Fax:
Practice Address - Street 1:110 WAYLINE CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-6451
Practice Address - Country:US
Practice Address - Phone:864-941-2748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23542363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care