Provider Demographics
NPI:1033340138
Name:HILL, MARSHA JENNIFER (CNM)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:JENNIFER
Last Name:HILL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:JENNIFER
Other - Last Name:ABELLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:615 S NEW BALLAS RD STE 1400
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8221
Mailing Address - Country:US
Mailing Address - Phone:314-251-7955
Mailing Address - Fax:314-251-7797
Practice Address - Street 1:615 S NEW BALLAS RD STE 1400
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8221
Practice Address - Country:US
Practice Address - Phone:314-251-7955
Practice Address - Fax:314-251-7797
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041352752163W00000X
IL209007719176B00000X
MO2012019337176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163W00000XNursing Service ProvidersRegistered Nurse