Provider Demographics
NPI:1982852893
Name:MCWHORTER-HILL, ERICA NICOLE (ARNP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:NICOLE
Last Name:MCWHORTER-HILL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 KEEN ST
Mailing Address - Street 2:
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-7682
Mailing Address - Country:US
Mailing Address - Phone:270-864-3371
Mailing Address - Fax:270-864-5667
Practice Address - Street 1:333 KEEN ST
Practice Address - Street 2:
Practice Address - City:BURKESVILLE
Practice Address - State:KY
Practice Address - Zip Code:42717-7682
Practice Address - Country:US
Practice Address - Phone:270-864-3371
Practice Address - Fax:270-864-5667
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32263363LF0000X
KY3005690363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100073680Medicaid
KYP400039932Medicare PIN
KYP400028563Medicare PIN