Healthcare Provider Details

I. General information

NPI: 1417782418
Provider Name (Legal Business Name): JULIE EVERETT HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE ANN EVERETT HILL

II. Dates (important events)

Enumeration Date: 09/07/2024
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 WHITE MOUNTAIN HWY
CONWAY NH
03818-4204
US

IV. Provider business mailing address

9 E MADISON RD
MADISON NH
03849-5829
US

V. Phone/Fax

Practice location:
  • Phone: 603-447-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number057841-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number057841-21
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number057841-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: