Provider Demographics
NPI:1720725674
Name:SOPHIE M, HILL, APRN-CNP, PLLC
Entity Type:Organization
Organization Name:SOPHIE M, HILL, APRN-CNP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN CNP
Authorized Official - Phone:936-635-9612
Mailing Address - Street 1:818 W FRANK AVE
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-3317
Mailing Address - Country:US
Mailing Address - Phone:936-699-5275
Mailing Address - Fax:936-699-5276
Practice Address - Street 1:818 W FRANK AVE
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3317
Practice Address - Country:US
Practice Address - Phone:936-699-5275
Practice Address - Fax:936-699-5276
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST CHOICE FAMILY MEDICINE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1316592553OtherANGELA WHITLEY
TX1407218902OtherSAPPHIRA CLARK