Provider Demographics
NPI:1932725801
Name:WATKINS, HILLARY KAY (FNP)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:KAY
Last Name:WATKINS
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:PO BOX 62
Mailing Address - Street 2:
Mailing Address - City:MINIER
Mailing Address - State:IL
Mailing Address - Zip Code:61759-0062
Mailing Address - Country:US
Mailing Address - Phone:309-613-3261
Mailing Address - Fax:
Practice Address - Street 1:505 S SCHOOL ST
Practice Address - Street 2:
Practice Address - City:MINIER
Practice Address - State:IL
Practice Address - Zip Code:61759-7589
Practice Address - Country:US
Practice Address - Phone:309-613-3261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209021424363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily