Healthcare Provider Details

I. General information

NPI: 1992959324
Provider Name (Legal Business Name): JANEL IRENE HILLSTROM FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 E FOREMASTER DR STE 140
ST GEORGE UT
84790-4532
US

IV. Provider business mailing address

1490 E FOREMASTER DR STE 140
ST GEORGE UT
84790-4532
US

V. Phone/Fax

Practice location:
  • Phone: 385-265-7564
  • Fax: 877-851-4180
Mailing address:
  • Phone: 385-265-7564
  • Fax: 877-851-4180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN75911
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10503825-4405
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN001599
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: