Provider Demographics
NPI:1316270127
Name:HILLSMAN, JANELLE M (RN)
Entity type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:M
Last Name:HILLSMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 UNION BLVD
Mailing Address - Street 2:503
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45322-2564
Mailing Address - Country:US
Mailing Address - Phone:937-771-6399
Mailing Address - Fax:
Practice Address - Street 1:1206 UNION BLVD
Practice Address - Street 2:503
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45322-2564
Practice Address - Country:US
Practice Address - Phone:937-771-6399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN365550163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse