MEDICARE: KATIE ROSETTA HILL FNP

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	APN0000019881	TN

General Provider Information

NPI Number	:	1639565039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE ROSETTA HILL FNP

Provider Business Mailing Address
First Line	:	1 FRANKE BLVD
Second Line	:
City	:	FAYETTEVILLE
State	:	TN
Zip	:	37334-2566
Country	:	US
Telephone Number	:	877-423-1330
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 FRANKE BLVD
Second Line	:
City	:	FAYETTEVILLE
State	:	TN
Zip	:	37334-2566
Country	:	US
Telephone Number	:	877-423-1330
Fax Number	:

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

Provider Enumeration Date	:	04/13/2015
Last Update Date	:	04/19/2021

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Directions to “ KATIE ROSETTA HILL FNP” Practice Location

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