Healthcare Provider Details

I. General information

NPI: 1780986398
Provider Name (Legal Business Name): REBECCA RUSSO HILL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2010
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 MANNING DR
CHAPEL HILL NC
27599-6119
US

IV. Provider business mailing address

590 MANNING DR
CHAPEL HILL NC
27599-6119
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-1223
  • Fax: 919-966-6126
Mailing address:
  • Phone: 984-974-1223
  • Fax: 919-966-6126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN273545
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number229422
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: