Provider Demographics
NPI:1831841014
Name:HILL, JANELLE NATE'
Entity type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:NATE'
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 1:626 VILLAGE GREEN LN W
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3284
Mailing Address - Country:US
Mailing Address - Phone:608-395-8797
Mailing Address - Fax:
Practice Address - Street 1:626 VILLAGE GREEN LN W
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3284
Practice Address - Country:US
Practice Address - Phone:608-395-8797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIH400-4348-7835-08172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver