Healthcare Provider Details

I. General information

NPI: 1457437477
Provider Name (Legal Business Name): DEBRA W HILL C.F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2464 MAIN ST.
PLANTERSVILLE MS
38862-0000
US

IV. Provider business mailing address

272 ROAD 1145
TUPELO MS
38804-8580
US

V. Phone/Fax

Practice location:
  • Phone: 662-842-4877
  • Fax: 662-842-4330
Mailing address:
  • Phone: 662-680-3110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR713511
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: