Provider Demographics
NPI:1700239522
Name:HILL, CARRIE ANN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6414 W WILKINSON BLVD STE 1031
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-2858
Mailing Address - Country:US
Mailing Address - Phone:980-372-2709
Mailing Address - Fax:
Practice Address - Street 1:6414 W WILKINSON BLVD STE 1031
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-2858
Practice Address - Country:US
Practice Address - Phone:980-372-2709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-16
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20348363LP0808X
MECNP231658363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health