Provider Demographics
NPI:1902993611
Name:HILL, JANICE REBECCA (RN)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:REBECCA
Last Name:HILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 LEWIS CIR
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:GA
Mailing Address - Zip Code:30529-1355
Mailing Address - Country:US
Mailing Address - Phone:706-335-0911
Mailing Address - Fax:
Practice Address - Street 1:667 THOMPSON ST
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:GA
Practice Address - Zip Code:30547-3110
Practice Address - Country:US
Practice Address - Phone:706-677-2296
Practice Address - Fax:706-677-4042
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN123287163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse