Healthcare Provider Details

I. General information

NPI: 1780091447
Provider Name (Legal Business Name): JANET HYLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5885 HARRISON AVE
CINCINNATI OH
45248-1691
US

IV. Provider business mailing address

2139 AUBURN AVENUE ATTN: PAYOR ENROLLMENT 4-7
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-922-9660
  • Fax: 513-347-2347
Mailing address:
  • Phone: 513-351-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.15885
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: