Provider Demographics
NPI:1821587023
Name:HILLIARD, REBECCA CARBLEY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:CARBLEY
Last Name:HILLIARD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CLAIREMONT AVE STE 470
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2549
Mailing Address - Country:US
Mailing Address - Phone:404-537-1281
Mailing Address - Fax:
Practice Address - Street 1:125 CLAIREMONT AVE STE 470
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2549
Practice Address - Country:US
Practice Address - Phone:404-537-1281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN198898363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily