Lisa Hill, RN

Individual provider Active NPI Child & Adolescent Psychiatric/Mental Health Registered Nurse · Dumas, AR

NPI 1215219795 · NPPES record last updated Sep 12, 2011

Key facts

NPI
1215219795
Entity type
Individual (NPI type 1)
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X
License
R55309 (AR)
Practice address
105 Carlton Dr
Dumas, AR 71639-2836
Phone
(870) 382-1680
Fax
(870) 382-1681
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R55309ARMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X R55309 AR Yes

Addresses

Primary practice location

105 Carlton Dr
Dumas, AR 71639-2836

Mailing address

105 Carlton Dr
Dumas, AR 71639-2836
Phone (870) 382-1680

Other providers in Dumas, AR

All providers in Dumas, AR · Child & Adolescent Psychiatric/Mental Health Registered Nurse in Arkansas

Sources for this page

Verify at the official NPI Registry.