Provider Demographics
NPI:1316620297
Name:GARRISON, HILLARY MORGAN (FNP-C)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:MORGAN
Last Name:GARRISON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:MORGAN
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:707-541-3411
Mailing Address - Fax:707-573-5411
Practice Address - Street 1:34 MARK WEST SPRINGS RD FL 2
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-1766
Practice Address - Country:US
Practice Address - Phone:707-541-7900
Practice Address - Fax:707-573-5411
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018837363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner