Provider Demographics
NPI:1730632332
Name:HILS- WILLIAMS, JACQUELINE (FNP)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:
Last Name:HILS- WILLIAMS
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 1:2516 ARION CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-4211
Mailing Address - Country:US
Mailing Address - Phone:714-745-7266
Mailing Address - Fax:
Practice Address - Street 1:2516 ARION CIR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730-4211
Practice Address - Country:US
Practice Address - Phone:714-745-7266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-31
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily