Provider Demographics
NPI:1346608247
Name:HILL, JAMIE M
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:M
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 COTTON CREEK PL
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-3657
Mailing Address - Country:US
Mailing Address - Phone:307-277-7652
Mailing Address - Fax:307-237-0362
Practice Address - Street 1:3030 COTTON CREEK PL
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-3657
Practice Address - Country:US
Practice Address - Phone:307-277-7652
Practice Address - Fax:307-237-0362
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator