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NPI Code Detail

MEDICARE: TAMMY JOE HILL N.P.

MEDICARE: TAMMY JOE HILL N.P.
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
1363LP2300XPrimary Care Nurse Practitioner4704210801MI

General Provider Information

NPI Number : 1497048862
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY JOE HILL N.P.
Provider Business Mailing Address
First Line : 1200 WASHINGTON AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5756
Country : US
Telephone Number : 989-894-4015
Fax Number : 989-895-2083
Provider Business Practice Location Address
First Line : 1200 WASHINGTON AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5756
Country : US
Telephone Number : 989-895-4015
Fax Number : 989-895-2083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2011
Last Update Date : 11/20/2015

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