Healthcare Provider Details

I. General information

NPI: 1073826962
Provider Name (Legal Business Name): JEFFREY JAMES HILL APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 MISSION RD STE 244N
PRAIRIE VILLAGE KS
66208-3006
US

IV. Provider business mailing address

1312 W 6TH ST
LAWRENCE KS
66044-2219
US

V. Phone/Fax

Practice location:
  • Phone: 913-777-4433
  • Fax: 913-490-1595
Mailing address:
  • Phone: 785-841-7297
  • Fax: 785-856-0375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-81458-061
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2011034999
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2011034999
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: