Provider Demographics
NPI:1154097988
Name:HILL, JESSY (ED S, MASTER'S)
Entity Type:Individual
Prefix:
First Name:JESSY
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:ED S, MASTER'S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2508 27TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-2541
Mailing Address - Country:US
Mailing Address - Phone:402-563-7000
Mailing Address - Fax:
Practice Address - Street 1:2508 27TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-2541
Practice Address - Country:US
Practice Address - Phone:402-563-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5496101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health