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NPI Code Detail

MEDICARE: FELICIA R HAMILTON APRN, CNP

MEDICARE: FELICIA R HAMILTON APRN, CNP
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
1163WC0400XCase Management Registered Nurse041.442484IL
2363LF0000XFamily Nurse Practitioner209029817IL

General Provider Information

NPI Number : 1710731385
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIA R HAMILTON APRN, CNP
Provider Business Mailing Address
First Line : 1502 PARKVIEW AVE
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-1821
Country : US
Telephone Number : 815-381-7250
Fax Number : 815-381-7251
Provider Business Practice Location Address
First Line : 1502 PARKVIEW AVE
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-1821
Country : US
Telephone Number : 815-381-7250
Fax Number : 815-381-7251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2024
Last Update Date : 04/08/2025

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