MEDICARE: PATRICIA JEAN HILL NP

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	363L00000X	Nurse Practitioner	209010211	IL
2	363L00000X	Nurse Practitioner	ARNP9457871	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1366782203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA JEAN HILL NP

Provider Business Mailing Address
First Line	:	1840 ELDRON BLVD SE STE 1
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-6871
Country	:	US
Telephone Number	:	321-312-4580
Fax Number	:	321-914-4053

Provider Business Practice Location Address
First Line	:	1840 ELDRON BLVD SE STE 1
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-6871
Country	:	US
Telephone Number	:	321-312-4580
Fax Number	:	321-914-4053

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

Provider Enumeration Date	:	02/28/2013
Last Update Date	:	09/19/2023

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Directions to “ PATRICIA JEAN HILL NP” Practice Location

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