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NPI Code Detail

MEDICARE: MRS. TRACI KYLE HILL FNP-BC

MEDICARE:  MRS. TRACI KYLE HILL  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
1163WC0200XCritical Care Medicine Registered Nurse111099TN
2363LF0000XFamily Nurse Practitioner0000016578TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235410481
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRACI KYLE HILL FNP-BC
Provider Business Mailing Address
First Line : 541 W PARK PL
Second Line :
City : HENDERSON
State : TN
Zip : 38340-2027
Country : US
Telephone Number : 731-989-1007
Fax Number : 731-989-0704
Provider Business Practice Location Address
First Line : 541 W PARK PL
Second Line :
City : HENDERSON
State : TN
Zip : 38340-2027
Country : US
Telephone Number : 731-989-1007
Fax Number : 731-989-0704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 12/29/2023

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Directions to “ MRS. TRACI KYLE HILL FNP-BC” Practice Location

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