Provider Demographics
NPI:1922604677
Name:WHITFIELD, HILLARY MACALL (CRNP)
Entity Type:Individual
Prefix:MS
First Name:HILLARY
Middle Name:MACALL
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19140 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CITRONELLE
Mailing Address - State:AL
Mailing Address - Zip Code:36522-2306
Mailing Address - Country:US
Mailing Address - Phone:251-866-0086
Mailing Address - Fax:
Practice Address - Street 1:19140 S 3RD ST
Practice Address - Street 2:
Practice Address - City:CITRONELLE
Practice Address - State:AL
Practice Address - Zip Code:36522-2306
Practice Address - Country:US
Practice Address - Phone:251-866-0086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-150172363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner