Provider Demographics
NPI:1295169019
Name:HILL, LAURA LINDSEY (FNPC)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:LINDSEY
Last Name:HILL
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 COUNTY ROAD 415
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-6390
Mailing Address - Country:US
Mailing Address - Phone:662-816-7199
Mailing Address - Fax:662-234-9058
Practice Address - Street 1:2580 JACKSON AVE W STE 44
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655
Practice Address - Country:US
Practice Address - Phone:662-315-3128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR871342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04900757Medicaid
MS347393YYHIMedicare PIN