Healthcare Provider Details

I. General information

NPI: 1023932670
Provider Name (Legal Business Name): MAE HILL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11743 COUNTY LINE RD STE C
MADISON AL
35758-3301
US

IV. Provider business mailing address

11743 COUNTY LINE RD STE C
MADISON AL
35758-3301
US

V. Phone/Fax

Practice location:
  • Phone: 256-880-3500
  • Fax: 256-880-9203
Mailing address:
  • Phone: 256-880-3500
  • Fax: 256-880-9203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-189373
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: