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NPI Code Detail

MEDICARE: HILIARY NEVILLE NP-C

MEDICARE: HILIARY NEVILLE NP-C
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
1363L00000XNurse Practitioner1021657TX
2363LF0000XFamily Nurse Practitioner1021657TX
3163W00000XRegistered Nurse786542TX
4363LG0600XGerontology Nurse Practitioner1021657TX

General Provider Information

NPI Number : 1740850312
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILIARY NEVILLE NP-C
Provider Business Mailing Address
First Line : 118 MORGHAN LN
Second Line :
City : TEXARKANA
State : TX
Zip : 75501-0925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5803 STONERIDGE DR
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-1461
Country : US
Telephone Number : 888-725-5422
Fax Number : 903-501-1100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2021
Last Update Date : 03/20/2026

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Directions to “ HILIARY NEVILLE NP-C” Practice Location

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