MEDICARE: MS. MELANIE JO HILL MSN, APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R875859	MS
2	363LF0000X	Family Nurse Practitioner	APN0000011258	TN

General Provider Information

NPI Number	:	1033258926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELANIE JO HILL MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	1781 BANBURY LN
Second Line	:
City	:	HERNANDO
State	:	MS
Zip	:	38632-8071
Country	:	US
Telephone Number	:	901-568-7655
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 CASINO CENTER DR
Second Line	:	CAESAR'S HEALTH AND WELLNESS CENTER
City	:	ROBINSONVILLE
State	:	MS
Zip	:	38664-9708
Country	:	US
Telephone Number	:	662-357-3264
Fax Number	:	662-357-6092

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	09/23/2014

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