Provider Demographics
NPI:1316257033
Name:HILL, LISA ANNE (APN)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:ANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:626 BERNARD AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-6253
Mailing Address - Country:US
Mailing Address - Phone:865-522-0161
Mailing Address - Fax:865-521-7920
Practice Address - Street 1:626 BERNARD AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-6253
Practice Address - Country:US
Practice Address - Phone:865-522-0161
Practice Address - Fax:865-521-7920
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000012166363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health