Healthcare Provider Details

I. General information

NPI: 1255235024
Provider Name (Legal Business Name): TONYA HILLIER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1895 RICE ST
WALDRON AR
72958-7724
US

IV. Provider business mailing address

2711 JOHNNY TATE RD
WALDRON AR
72958-7412
US

V. Phone/Fax

Practice location:
  • Phone: 479-637-2454
  • Fax:
Mailing address:
  • Phone: 479-243-6233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberR088671
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: