Healthcare Provider Details

I. General information

NPI: 1336599828
Provider Name (Legal Business Name): SHERRI HILL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2016
Last Update Date: 06/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 TAHOE RD
WILMINGTON NC
28412-3198
US

IV. Provider business mailing address

509 TAHOE RD
WILMINGTON NC
28412-3198
US

V. Phone/Fax

Practice location:
  • Phone: 910-622-8128
  • Fax:
Mailing address:
  • Phone: 910-622-8128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0416413
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number2013004499
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: