Healthcare Provider Details

I. General information

NPI: 1649998451
Provider Name (Legal Business Name): JILL EVERS-BUNNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 MERCY HEALTH BLVD STE 125
CINCINNATI OH
45211-1106
US

IV. Provider business mailing address

360 GLENSPRINGS DR
SPRINGDALE OH
45246-2304
US

V. Phone/Fax

Practice location:
  • Phone: 513-215-9200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3017684
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0031261
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: