Provider Demographics
NPI:1346232352
Name:HILL, JENNIFER L (ARNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:SHIELDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 1ST AVE S STE B
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1968
Mailing Address - Country:US
Mailing Address - Phone:515-967-8887
Mailing Address - Fax:833-913-0981
Practice Address - Street 1:700 1ST AVE S STE B
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1968
Practice Address - Country:US
Practice Address - Phone:515-967-8887
Practice Address - Fax:833-913-0981
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA098791363L00000X, 363LP0200X
IA098791-A363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA560910085Medicaid
NE42068045213Medicaid
IA1346232352Medicaid
175150074OtherMEDICARE