Healthcare Provider Details

I. General information

NPI: 1568744209
Provider Name (Legal Business Name): JILLIAN MARIE HUNT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JILLIAN MARIE JONES RN

II. Dates (important events)

Enumeration Date: 09/19/2011
Last Update Date: 06/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4460 RED BANK RD SUITE 200
CINCINNATI OH
45227-2172
US

IV. Provider business mailing address

237 WILLIAM HOWARD TAFT RD 2ND FLOOR, CBO2-3; ATTN: CREDENTIALING
CINCINNATI OH
45219-2610
US

V. Phone/Fax

Practice location:
  • Phone: 513-321-4333
  • Fax: 513-533-6033
Mailing address:
  • Phone: 513-263-8551
  • Fax: 513-366-4480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN.286351
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12712
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1115554
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3008653
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: