Healthcare Provider Details

I. General information

NPI: 1386294759
Provider Name (Legal Business Name): ARQUTIA LASHA HILL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5339 ELVIS PRESLEY BLVD
MEMPHIS TN
38116-8243
US

IV. Provider business mailing address

PO BOX 746725
ATLANTA GA
30374-6725
US

V. Phone/Fax

Practice location:
  • Phone: 901-504-7002
  • Fax:
Mailing address:
  • Phone: 773-352-1515
  • Fax: 312-929-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26604
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26604
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: