Healthcare Provider Details

I. General information

NPI: 1437519873
Provider Name (Legal Business Name): JOSHUA RAY HILTON APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2016
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

689 MEDICAL PARK DR STE 204
LENOIR CITY TN
37772-5797
US

IV. Provider business mailing address

689 MEDICAL PARK DR STE 204
LENOIR CITY TN
37772-5797
US

V. Phone/Fax

Practice location:
  • Phone: 865-271-6670
  • Fax: 865-374-2120
Mailing address:
  • Phone: 865-271-6670
  • Fax: 865-374-2120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20985
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: