Basic Information
| Provider Information | |||||||||
| NPI: | 1164431458 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILL | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | C. | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 75 WASHINGTON STREET | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020619147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818785200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5 TARKILN ROAD | ||||||||
| Address2: | |||||||||
| City: | KINGSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023641250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815852200 | ||||||||
| FaxNumber: | 7815851784 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2006 | ||||||||
| LastUpdateDate: | 01/07/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 232757 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 042297845 | 01 | PHCS/MULTI-PLAN | OTHER | 128503 | 01 | FALLON | OTHER | 042297845 | 01 | TRICARE | OTHER | NP5421 | 01 | BCBSMA | OTHER | 042297845 | 01 | GREAT WEST HEALTH CARE | OTHER | 0712396 | 05 | MA | MEDICAID | NP542101 | 01 | MEDICARE | OTHER |