Doctor Name: | HILARY ASHTON GLOVER |
NPI Number: | 1215367230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R889366 |
Business Practice Address: | 1507 W Quitman St Iuka, MS - 388521132 |
Business Phone Number: | 6624231000 |
Business Fax Number: | |
Mailing Address: | 1507 W Quitman St, IUKA |
State: | MS |
Postal Code: | 388521132 |
Phone Number: | 6624231000 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2013 |
NPI Last Update Date: | 01/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R889366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |