1033275490 NPI number — MRS. APRYL JENEINE HILLSMAN OTR

Table of content: MRS. APRYL JENEINE HILLSMAN OTR (NPI 1033275490)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033275490 NPI number — MRS. APRYL JENEINE HILLSMAN OTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILLSMAN
Provider First Name:
APRYL
Provider Middle Name:
JENEINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OTR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033275490
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
253 HIDDEN CREEK CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LIZELLA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31052-5569
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
478-784-4219
Provider Business Mailing Address Fax Number:
478-784-4219

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
253 HIDDEN CREEK CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIZELLA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31052-5569
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-784-4219
Provider Business Practice Location Address Fax Number:
478-784-4219
Provider Enumeration Date:
12/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  OT002419 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00902437B , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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