Provider Demographics
NPI:1871206987
Name:HILL, CAROLINE (FNP)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 LISBON AVE
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28441-9264
Mailing Address - Country:US
Mailing Address - Phone:910-529-1827
Mailing Address - Fax:
Practice Address - Street 1:105 LISBON AVE
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:NC
Practice Address - Zip Code:28441-9264
Practice Address - Country:US
Practice Address - Phone:910-529-1827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017446363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily