Basic Information
| Provider Information | |||||||||
| NPI: | 1407411424 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILL-JUNIOUS | ||||||||
| FirstName: | NORVELLA | ||||||||
| MiddleName: | LEATRICE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 105 CANAL LANDING BLVD STE 1 | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146265107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5853684050 | ||||||||
| FaxNumber: | 5857236705 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 CANAL LANDING BLVD STE 1 | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146265107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5853684050 | ||||||||
| FaxNumber: | 5857236705 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/06/2019 | ||||||||
| LastUpdateDate: | 07/21/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 673403 | NY | N | Nursing Service Providers | Registered Nurse | 363LA2200X | 309415 | NY | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 363L00000X | RN287809 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.