Provider Demographics
NPI:1629029517
Name:HILL, JENNIFER L (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 N 51ST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-2867
Mailing Address - Country:US
Mailing Address - Phone:402-932-8020
Mailing Address - Fax:402-905-3042
Practice Address - Street 1:119 N 51ST ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-2867
Practice Address - Country:US
Practice Address - Phone:402-932-8020
Practice Address - Fax:402-905-3042
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22228207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE03626OtherBCBS OF NEBRASKA
NE242301OtherMIDLANDS CHOICE
NE0105366OtherUNITED HEALTH CARE
NE0105298OtherUNITED HEALTH CARE
NEP00238335OtherRAILROAD MEDICARE
NE242301OtherMIDLANDS CHOICE
NE03626OtherBCBS OF NEBRASKA