Healthcare Provider Details

I. General information

NPI: 1528729175
Provider Name (Legal Business Name): JENNIFER LYNN HILL FNP-C, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER HILL DELOACH

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E FONTANERO ST STE 301
COLORADO SPRINGS CO
80907-7526
US

IV. Provider business mailing address

1959 WEWATTA ST UNIT 815
DENVER CO
80202-6632
US

V. Phone/Fax

Practice location:
  • Phone: 719-644-6463
  • Fax:
Mailing address:
  • Phone: 386-336-6134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0999003-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0999003-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11014854
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: