MEDICARE: JESSIE 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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1902341027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSIE HILL

Provider Business Mailing Address
First Line	:	5000 ARLINGTON CENTRE BLVD
Second Line	:	BUILDING 2
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3075
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 ARLINGTON CENTRE BLVD
Second Line	:	BUILDING 2
City	:	COLUMBUS
State	:	OH
Zip	:	43220-3075
Country	:	US
Telephone Number	:	614-615-5145
Fax Number	:

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

Provider Enumeration Date	:	12/28/2016
Last Update Date	:	12/28/2016

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Directions to “ JESSIE HILL ” Practice Location

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