MEDICARE: JALYSSA HILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		MI

General Provider Information

NPI Number	:	1679403257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JALYSSA HILL

Provider Business Mailing Address
First Line	:	1420 E LINCOLN AVE APT 6B
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-4145
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 E LINCOLN AVE APT 6B
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-4145
Country	:	US
Telephone Number	:	313-690-6358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2026
Last Update Date	:	05/23/2026

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Directions to “ JALYSSA HILL ” Practice Location

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