Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 07662 | IA |
N | 1223P0221X | Pediatric Dentist | F-25016 | TX |
Y | 1223P0221X | Pediatric Dentist | G3-0010510 | DE |
NPI | 1063545333 |
---|---|
Provider Name | Jennifer Rosanna Hill |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 04/03/2021 |