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General NPI Number Information
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NPI Number | 1790694446
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Entity Type | Individual
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Provider Name | JESSICA HILLIS
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Gender | Female
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 1700 MEDICAL CENTER PKWY
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City | MURFREESBORO
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State | TN
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Zip | 37129-2245
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Country | US
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Telephone | 615-396-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 664 RAY BROYLES RD
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City | SPARTA
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State | TN
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Zip | 38583-1447
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Country | US
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Telephone | 615-684-4000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 279115
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License Number State | TN
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