MEDICARE: MELISSA SUE HILLARD FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	360184	NY

General Provider Information

NPI Number	:	1235063777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA SUE HILLARD FNP-BC

Provider Business Mailing Address
First Line	:	958 MURPHY HILL RD
Second Line	:
City	:	HORSEHEADS
State	:	NY
Zip	:	14845-8551
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	503 PARK PL
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14901-2428
Country	:	US
Telephone Number	:	607-207-9755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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