Provider Demographics
NPI:1366782203
Name:HILL, PATRICIA JEAN (NP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JEAN
Last Name:HILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:JEAN
Other - Last Name:TARMEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1840 ELDRON BLVD SE STE 1
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-6871
Mailing Address - Country:US
Mailing Address - Phone:321-312-4580
Mailing Address - Fax:321-914-4053
Practice Address - Street 1:1840 ELDRON BLVD SE STE 1
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-6871
Practice Address - Country:US
Practice Address - Phone:321-312-4580
Practice Address - Fax:321-914-4053
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010211363L00000X
FLARNP9457871363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner