Individual
MRS. STACY MENDENHALL HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12208 N NC HIGHWAY 150, WINSTON SALEM, NC 27127-9730
(336) 764-2324
(336) 764-9541
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 992-8181
(336) 996-9539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004351
NC
363LA2200X
Adult Health Nurse Practitioner
5004351
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005408
—
NC
Enumeration date
04/06/2009
Last updated
10/28/2020
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