Provider Demographics
NPI:1659633410
Name:HILL, JESSICA LEDFORD
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LEDFORD
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ERIN
Other - Last Name:LEDFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:327 HIGHWAY 164
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:GA
Mailing Address - Zip Code:30529-6332
Mailing Address - Country:US
Mailing Address - Phone:706-677-1990
Mailing Address - Fax:
Practice Address - Street 1:327 HIGHWAY 164
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30529-6332
Practice Address - Country:US
Practice Address - Phone:706-677-1990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT004041174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist