Provider Demographics
NPI:1154630358
Name:HILL, JASMINE ROSE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:ROSE
Last Name:HILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:ROSE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10135 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1413
Mailing Address - Country:US
Mailing Address - Phone:513-384-4162
Mailing Address - Fax:
Practice Address - Street 1:10135 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1413
Practice Address - Country:US
Practice Address - Phone:513-384-4162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH125816164W00000X
OHRN.415164163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse