Hill, Stacey M

Hill, Stacey M is an individual health care provider with primary practice located at 201 N Breazeale Ave , Mt Olive NC 28365. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hill, Stacey M can be contacted via phone (919) 658-4954.

Contact Information

Primary practice address
201 N Breazeale Ave Mt Olive NC 28365
Phone: (919) 658-4954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-03040 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03040 North Carolina

Profile Details

NPI number 1104108414
LBN Legal business name Hill, Stacey M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2011
Last updated May 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104108414 NPPES
North Carolina Other 0010-03040 NC MEDICAL LIC

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