Provider Demographics
NPI:1720178502
Name:HILL, PAMELA J (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:J
Last Name:HILL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2115 CLOYD BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-7512
Mailing Address - Country:US
Mailing Address - Phone:256-718-6858
Mailing Address - Fax:256-718-6058
Practice Address - Street 1:2115 CLOYD BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-7512
Practice Address - Country:US
Practice Address - Phone:256-718-6858
Practice Address - Fax:256-718-6058
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-038375363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51019625OtherBLUE CROSS NUMBER
ALP00095796OtherRAILROAD MEDICARE
ALP00095796OtherRAILROAD MEDICARE