Healthcare Provider Details

I. General information

NPI: 1477147668
Provider Name (Legal Business Name): ASHLYN ELISABETH HILT WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ASHLYN ELISABETH PATTESON

II. Dates (important events)

Enumeration Date: 02/27/2021
Last Update Date: 08/15/2024
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 E BATTLEFIELD
SPRINGFIELD MO
65807-4806
US

IV. Provider business mailing address

626 EAST BATTLEFIELD
SPRINGFIELD MO
65807
US

V. Phone/Fax

Practice location:
  • Phone: 417-883-3800
  • Fax: 417-883-3994
Mailing address:
  • Phone: 417-883-3800
  • Fax: 417-883-3994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041541975
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2018002928
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2022035165
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number209027596
License Number StateIL
# 5
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2022035165
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: