Healthcare Provider Details

I. General information

NPI: 1548187453
Provider Name (Legal Business Name): JESSICA HILL C-SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12032 BUSINESS BLVD # A
EAGLE RIVER AK
99577-7725
US

IV. Provider business mailing address

19621 WINGHAM CIR
EAGLE RIVER AK
99577-8672
US

V. Phone/Fax

Practice location:
  • Phone: 907-290-9595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number244313
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: