Healthcare Provider Details

I. General information

NPI: 1295551646
Provider Name (Legal Business Name): ROCKY HILL WELLNESS AND AESTHETICS NURSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 E PINE ST
EXETER CA
93221-1750
US

IV. Provider business mailing address

216 E PINE ST
EXETER CA
93221-1750
US

V. Phone/Fax

Practice location:
  • Phone: 559-772-2983
  • Fax:
Mailing address:
  • Phone: 559-772-2983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LUCIA F THOMPSON
Title or Position: OWNER
Credential: NURSE PRACTITIONER
Phone: 559-772-2983