Provider Demographics
NPI:1770719866
Name:HILL, TERESA (C-FNP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:C-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 N 23RD ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-2241
Mailing Address - Country:US
Mailing Address - Phone:409-839-4600
Mailing Address - Fax:409-839-8110
Practice Address - Street 1:324 N 23RD ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-2241
Practice Address - Country:US
Practice Address - Phone:409-839-4600
Practice Address - Fax:409-212-1579
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686193363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily