Provider Demographics
NPI:1457579138
Name:HILL, JUNE C (CFNP)
Entity Type:Individual
Prefix:MS
First Name:JUNE
Middle Name:C
Last Name:HILL
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:JUNE
Other - Middle Name:C
Other - Last Name:MCINTYRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CFNP
Mailing Address - Street 1:PO BOX 157A
Mailing Address - Street 2:
Mailing Address - City:WHITFIELD
Mailing Address - State:MS
Mailing Address - Zip Code:39193-0157
Mailing Address - Country:US
Mailing Address - Phone:601-351-8365
Mailing Address - Fax:601-351-8301
Practice Address - Street 1:3550 HIGHWAY 468 WEST
Practice Address - Street 2:
Practice Address - City:WHITFIELD
Practice Address - State:MS
Practice Address - Zip Code:39193-0157
Practice Address - Country:US
Practice Address - Phone:601-351-8365
Practice Address - Fax:601-351-8301
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR649856363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05285859Medicaid