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Individual

MRS. TERESA F HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, NP-C, BC

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5210
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5210

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R850662
MS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
R850662
MS
363LP0200X
Pediatric Nurse Practitioner
Primary
850662
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03357351
MS
05
163756
AL
Enumeration date
06/23/2006
Last updated
05/09/2017
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