Provider Demographics
NPI:1083416234
Name:HILLEGAS, JAMIE (RN, BSN, MSN)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:HILLEGAS
Suffix:
Gender:
Credentials:RN, BSN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 11TH ST
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-1560
Mailing Address - Country:US
Mailing Address - Phone:814-421-3157
Mailing Address - Fax:
Practice Address - Street 1:231 E MARKET ST
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15717-1120
Practice Address - Country:US
Practice Address - Phone:724-459-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA651230163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health