Healthcare Provider Details

I. General information

NPI: 1093994451
Provider Name (Legal Business Name): HILLARY BESS HOOSER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HILLARY NICOLE BESS ARNP

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 W. TOWN PLACE STE 1
SAINT AUGUSTINE FL
32092
US

IV. Provider business mailing address

319 W. TOWN PLACE STE 1
SAINT AUGUSTINE FL
32092
US

V. Phone/Fax

Practice location:
  • Phone: 904-940-1577
  • Fax: 904-940-1916
Mailing address:
  • Phone: 904-940-1577
  • Fax: 904-940-1916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9269553
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: