Provider Demographics
NPI:1013756451
Name:HILL, CHARLES DONALD JR (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:DONALD
Last Name:HILL
Suffix:JR
Gender:M
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 NC HIGHWAY 94 N
Mailing Address - Street 2:
Mailing Address - City:CRESWELL
Mailing Address - State:NC
Mailing Address - Zip Code:27928-8300
Mailing Address - Country:US
Mailing Address - Phone:252-797-0135
Mailing Address - Fax:
Practice Address - Street 1:9500 NC HIGHWAY 94 N
Practice Address - Street 2:
Practice Address - City:CRESWELL
Practice Address - State:NC
Practice Address - Zip Code:27928-8300
Practice Address - Country:US
Practice Address - Phone:252-797-0135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5020115363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily