Individual
MRS. TAMMY JO HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
92 JOE T PETTY DRIVE, RUSSELL SPRINGS, KY 42642
(270) 858-3429
(270) 858-3350
Mailing address
92 JOE T PETTY DRIVE, RUSSELL SPRINGS, KY 42642
(270) 858-3429
(270) 858-3350
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
3543P
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3003543
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78006350
—
KY
Enumeration date
11/21/2005
Last updated
02/29/2024
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