Healthcare Provider Details

I. General information

NPI: 1982929147
Provider Name (Legal Business Name): JODY WILLIS HILL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 FIELDSTONE DR
JONESVILLE VA
24263-1215
US

IV. Provider business mailing address

276 FIELDSTONE DR
JONESVILLE VA
24263-1215
US

V. Phone/Fax

Practice location:
  • Phone: 276-546-3001
  • Fax: 276-546-9705
Mailing address:
  • Phone: 276-546-5310
  • Fax: 276-546-5469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024168689
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: