Healthcare Provider Details

I. General information

NPI: 1558746636
Provider Name (Legal Business Name): JAIME HILL AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 WHITNEY AVE
NEW HAVEN CT
06511-2348
US

IV. Provider business mailing address

31 CHARLES STREET
WEYMOUTH MA
02189
US

V. Phone/Fax

Practice location:
  • Phone: 203-503-0450
  • Fax:
Mailing address:
  • Phone: 401-952-2421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN01168
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number6248
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN2292577
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: