Individual
MS. WANDA NEWBY HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP FNP, FPMHNP-BC
Contact information
Practice address
611 ALCORN DRIVE, CROSSROADS CENTER, CORINTH, MS 38834-9321
(662) 293-4280
(662) 293-4282
Mailing address
72A COUNTY ROAD 421, TISHOMINGO, MS 38873-8728
(662) 438-7226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850602
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05083051
—
MS
Enumeration date
11/11/2005
Last updated
04/13/2012
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