Healthcare Provider Details

I. General information

NPI: 1245617133
Provider Name (Legal Business Name): TIIRINI JANAI HILL PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10027 CLAYTON BLVD STE C
CLAYTON NC
27520-2115
US

IV. Provider business mailing address

10027 CLAYTON BLVD STE C
CLAYTON NC
27520-2115
US

V. Phone/Fax

Practice location:
  • Phone: 919-473-6909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024196594
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5016319
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: