Healthcare Provider Details

I. General information

NPI: 1407100183
Provider Name (Legal Business Name): HILL MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2012
Last Update Date: 01/14/2020
Certification Date: 01/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S VIENNA ST
RUSTON LA
71270-5845
US

IV. Provider business mailing address

707 S VIENNA ST
RUSTON LA
71270-5845
US

V. Phone/Fax

Practice location:
  • Phone: 318-224-3044
  • Fax: 318-232-2978
Mailing address:
  • Phone: 318-224-3044
  • Fax: 318-232-2978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP06647
License Number StateLA

VIII. Authorized Official

Name: MRS. ASHLEY JONES HILL
Title or Position: OWNER/PROVIDER
Credential: NP-C
Phone: 318-245-4757