Healthcare Provider Details

I. General information

NPI: 1598354847
Provider Name (Legal Business Name): JILL HIPPENMEYER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

893 S DELAWARE ST
INDIANAPOLIS IN
46225-1782
US

IV. Provider business mailing address

893 S DELAWARE ST
INDIANAPOLIS IN
46225-1782
US

V. Phone/Fax

Practice location:
  • Phone: 317-277-7100
  • Fax: 317-276-4028
Mailing address:
  • Phone: 317-277-7100
  • Fax: 317-810-2098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF01210458
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: