Provider Demographics
NPI:1942730684
Name:CAFFEY, HILLARY (FNP-C)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:CAFFEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 FLAG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SARAH
Mailing Address - State:MS
Mailing Address - Zip Code:38665-3443
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 NORTHWEST PLZ
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668-1740
Practice Address - Country:US
Practice Address - Phone:662-301-8330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902072363LF0000X
TNAPN23067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily