Basic Information
Provider Information
NPI: 1215202262
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL
FirstName: JESSICA
MiddleName: LAUGHREY
NamePrefix: MS.
NameSuffix:  
Credential: C.N.M.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 150 E 42ND ST
Address2: FL 10
City: NEW YORK
State: NY
PostalCode: 100175626
CountryCode: US
TelephoneNumber: 6142933069
FaxNumber: 6143660894
Practice Location
Address1: 920 N HAMILTON RD STE 570
Address2:  
City: GAHANNA
State: OH
PostalCode: 432301757
CountryCode: US
TelephoneNumber: 6142933069
FaxNumber: 6143660894
Other Information
ProviderEnumerationDate: 03/08/2012
LastUpdateDate: 02/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XF001464NYY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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