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NPI Code Detail

MEDICARE: JAQUONDA HILL

MEDICARE: JAQUONDA HILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker19426LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376214114
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAQUONDA HILL
Provider Business Mailing Address
First Line : 1000 CHINABERRY DR STE 900
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-2455
Country : US
Telephone Number : 225-929-9738
Fax Number : 225-929-9740
Provider Business Practice Location Address
First Line : 8326 KELWOOD AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-4803
Country : US
Telephone Number : 225-929-9738
Fax Number : 225-929-9740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2021
Last Update Date : 06/05/2026

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Directions to “ JAQUONDA HILL ” Practice Location

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