Mary L Hilliard


Address: 4612 Medgar Evers Blvd, Suite 10, Jackson, MS 39213-5205

Mary L Hilliard (NPI# 1710084504, PAC ID# 3375589930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1710084504
PAC ID by PECOS 3375589930
Professional Enrollment ID I20050705000804
Full Name Mary L Hilliard
Address 4612 Medgar Evers Blvd
Suite 10
Jackson
MS 39213-5205
Gender F
Credential NP
Graduation Year 1995
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250102 MISSISSIPPI BAPTIST MEDICAL CENTER
250048 ST DOMINIC-JACKSON MEMORIAL HOSPITAL
250001 UNIVERSITY OF MISSISSIPPI MED CENTER
250072 MERIT HEALTH CENTRAL

Other Locations

Address Phone Organization
4612 Medgar Evers Blvd, Suite 10, Jackson, MS 39213-5205

Organization Information

Office Location

Street Address 4612 MEDGAR EVERS BLVD
SUITE 10
City JACKSON
State MS
Zip 39213-5205

Physicians in the same zip code

Name Specialty Organization Address
Amanda B. Greene Nurse Practitioner State of Mississippi-university of Mississippi Medical Center 350 W Woodrow Wilson Dr, Cancer Institute, Jackson, MS 39213
Jaleen D Sims Obstetrics/gynecology Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39213-4454
Iesha Renee Williams Nurse Practitioner Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39213-4454
Nobel D Attipoe Obstetrics/gynecology Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39213-4454
Keila L Brown Nurse Practitioner Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39213-4454
Tritresher Sizer Nurse Practitioner Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39213-4454
Willye A Bell Certified Nurse Midwife (cnm) Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39213-4454
Jan M Hausmann Internal Medicine Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39213-4454
Sonia L Walker Nurse Practitioner Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39213-4454
Barbara L Tapps Nurse Practitioner Central Mississippi Civic Improvement Association, Inc 3502 W Northside Dr, Jackson, MS 39213-4454
Find all physicians in zip 39213

Competitor

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City JACKSON
Zip Code 39213
Specialty NURSE PRACTITIONER
City + Specialty JACKSON + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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