Provider Demographics
NPI:1801341987
Name:HILL, JANELLE (PMHNP - ARPN, NP)
Entity type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:PMHNP - ARPN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 S. 133RD STREET SUITE 109
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127
Mailing Address - Country:US
Mailing Address - Phone:402-614-0010
Mailing Address - Fax:402-614-0090
Practice Address - Street 1:4610 S. 133RD STREET SUITE 109
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127
Practice Address - Country:US
Practice Address - Phone:402-614-0010
Practice Address - Fax:402-614-0090
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1966363LP0808X
NE112111363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEMS3988601OtherDEA