Provider Demographics
NPI:1861091399
Name:HILLEN, JESSICA N
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:N
Last Name:HILLEN
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 1:5417 COUNTY ROAD 52
Mailing Address - Street 2:
Mailing Address - City:BIG PRAIRIE
Mailing Address - State:OH
Mailing Address - Zip Code:44611-9649
Mailing Address - Country:US
Mailing Address - Phone:330-378-2267
Mailing Address - Fax:
Practice Address - Street 1:5417 COUNTY ROAD 52
Practice Address - Street 2:
Practice Address - City:BIG PRAIRIE
Practice Address - State:OH
Practice Address - Zip Code:44611-9649
Practice Address - Country:US
Practice Address - Phone:330-378-2267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health