Provider Demographics
NPI:1447963970
Name:HILLIKER, RHONDA ADAMS (CNM)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:ADAMS
Last Name:HILLIKER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:ADAMS
Other - Last Name:HILLIKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:PO BOX 902
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28541-0902
Mailing Address - Country:US
Mailing Address - Phone:910-578-8579
Mailing Address - Fax:
Practice Address - Street 1:310 NEW BRIDGE ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-4756
Practice Address - Country:US
Practice Address - Phone:910-621-4266
Practice Address - Fax:910-613-0382
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC858367A00000X
NC203214163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC858OtherNORTH CAROLINA BOARD OF NURSING
NC203214OtherNORTH CAROLINA BOARD OF NURSING