Healthcare Provider Details

I. General information

NPI: 1912832445
Provider Name (Legal Business Name): ABIGAIL GRACEN HILL BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 66
LEBANON VA
24266-0066
US

IV. Provider business mailing address

PO BOX 66
LEBANON VA
24266-0066
US

V. Phone/Fax

Practice location:
  • Phone: 276-258-1480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number0001310062
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: