MEDICARE: AMANDA CHANDLER HILL

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	HILL-01B81J	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HILL-01B81J	OTHER	MS	MISSISSIPPI BOARD OF NURSING

General Provider Information

NPI Number	:	1669990040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA CHANDLER HILL

Provider Business Mailing Address
First Line	:	810 E SUNFLOWER RD STE 100B
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38732-2828
Country	:	US
Telephone Number	:	662-579-3484
Fax Number	:	662-579-3485

Provider Business Practice Location Address
First Line	:	810 E SUNFLOWER RD STE 100B
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38732-2828
Country	:	US
Telephone Number	:	662-579-3484
Fax Number	:	662-579-3485

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

Provider Enumeration Date	:	09/06/2017
Last Update Date	:	06/18/2024

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Directions to “ AMANDA CHANDLER HILL ” Practice Location

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