Healthcare Provider Details

I. General information

NPI: 1760331854
Provider Name (Legal Business Name): R3 WOMENS WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
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 TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TIIRINI HILL
Title or Position: OWNER
Credential: PMHNP
Phone: 919-473-6909