| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JEFFERY PAUL HILLIS | 1649847963 | 2021-06-06 |
Jeffery Paul Hillis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649847963. Registration indicates Jeffery Paul Hillis is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. Jeffery Paul Hillis RN |
| Practice Office Address | 5100 CLAYTON RD STE B1,187 CONCORD, CA US |
| Practice Office Telephone | 9254816830 |
| Mailing Address | 5100 CLAYTON RD STE B1, #187 CONCORD, CA 945213161 US |
| Business Telephone | 9254816830 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 390858
CA |