Provider Demographics
NPI:1104138437
Name:HILL, JOANN L (CNM)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:22567 SUMMIT DR
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-7233
Mailing Address - Country:US
Mailing Address - Phone:315-788-2805
Mailing Address - Fax:315-788-2819
Practice Address - Street 1:22567 SUMMIT DR
Practice Address - Street 2:BUILDING 2
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-7233
Practice Address - Country:US
Practice Address - Phone:315-788-2805
Practice Address - Fax:315-788-2819
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2012-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY001389367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife