Individual
MELINDA HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2055 S FREMONT AVE, SPRINGFIELD, MO 65804-2206
(417) 820-8099
Mailing address
2055 S FREMONT AVE, SPRINGFIELD, MO 65804-2206
(417) 820-8099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
116646
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467594770
—
MO
01
—
155891
MO BLUE SHIELD
MO
05
—
161390758
—
AR
05
—
200618750A
—
OK
05
—
200879520B
—
KS
05
—
425828007
—
MO
01
—
82370
ARK BLUE SHIELD
AR
Enumeration date
02/13/2007
Last updated
09/02/2022
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