Healthcare Provider Details

I. General information

NPI: 1275255671
Provider Name (Legal Business Name): JANA M HAYDEN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANA HILL

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PHIPPS LN
PARIS IL
61944-2919
US

IV. Provider business mailing address

721 E COURT ST
PARIS IL
61944-2460
US

V. Phone/Fax

Practice location:
  • Phone: 217-463-4340
  • Fax: 217-463-4342
Mailing address:
  • Phone: 217-465-4141
  • Fax: 217-465-5615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209026356
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number282311725A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: