Provider Demographics
NPI:1881725976
Name:HILL, DONNA B (FNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:B
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 TININ DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-9054
Mailing Address - Country:US
Mailing Address - Phone:662-665-9111
Mailing Address - Fax:662-665-9118
Practice Address - Street 1:3301 TININ DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9054
Practice Address - Country:US
Practice Address - Phone:662-665-9111
Practice Address - Fax:662-665-9118
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR670197363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner