Individual ProviderAddison HillhouseNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address106 Melissa Ln, Hattiesburg, MS 39402-3330(601) 497-9190PECOS EnrollmentBased on the most recent information from CMS, provider Addison Hillhouse does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1861255614Provider TypeIndividualFull NameHillhouse, AddisonGenderFemaleSole ProprietorNoEnumeration Date2/5/2024Last Updated10/28/2024Contact InformationPractice LocationPractice Address106 Melissa Ln, Hattiesburg, MS 39402-3330Phone(601) 497-9190FaxUnlisted FaxMailing LocationMailing Address106 Melissa Ln, Hattiesburg, MS 39402-3330Phone(601) 497-9190FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense907046MississippiCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense274416Tennessee