Individual
MRS. COURTNEY JORDAN HILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Contact information
Practice address
1871 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-6308
(843) 804-9883
Mailing address
1871 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-6308
(843) 804-9883
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18332
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2802
—
SC
01
—
SC22319223
MEDICARE PTAN
SC
01
—
SC2231D062
PTAN
—
Enumeration date
12/02/2013
Last updated
07/26/2016
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