Provider Demographics
NPI:1457437477
Name:HILL, DEBRA W (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:W
Last Name:HILL
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 ROAD 1145
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38804-8580
Mailing Address - Country:US
Mailing Address - Phone:662-680-3110
Mailing Address - Fax:
Practice Address - Street 1:2464 MAIN ST.
Practice Address - Street 2:
Practice Address - City:PLANTERSVILLE
Practice Address - State:MS
Practice Address - Zip Code:38862-0000
Practice Address - Country:US
Practice Address - Phone:662-842-4877
Practice Address - Fax:662-842-4330
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR713511363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02853062Medicaid
MSS80145Medicare UPIN
MS02853062Medicaid