Healthcare Provider Details

I. General information

NPI: 1184204901
Provider Name (Legal Business Name): JESSICA ROSE HILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 11/08/2025
Certification Date: 11/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 FM 1826 BLDG 2 STE 202
AUSTIN TX
78737-1407
US

IV. Provider business mailing address

7900 FM 1826 STE 202
AUSTIN TX
78737-1412
US

V. Phone/Fax

Practice location:
  • Phone: 512-288-9669
  • Fax:
Mailing address:
  • Phone: 512-288-9669
  • Fax: 512-498-0317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberV1785
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: