Jennifer Marie Hiler, RN
Individual provider Active NPI Registered Nurse · Pine City, MN
NPI 1154628360 · NPPES record last updated Oct 25, 2011
Key facts
- NPI
- 1154628360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R-199868-7 (MN)
- Practice address
- 500 3Rd Ave SE
Suite 2
Pine City, MN 55063 - Phone
- (320) 629-6674
- Fax
- (320) 629-6630
- NPI assigned
- Feb 24, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-199868-7 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Supports Programming Services LLC | Past | Accepting new patients | |
| Community Supports Programming Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R-199868-7 | MN | Yes |
Addresses
Primary practice location
500 3Rd Ave SE
Suite 2
Pine City, MN 55063
Mailing address
500 3Rd Ave SE
Suite 2 Community Supports Programming Services
Pine City, MN 55063
Phone (320) 629-6674
Other providers in Pine City, MN
- Leah Granitz
- Nancy Ann Green
- Nidhi Gupta
- Christine Jayne Harnack
- Johanna Lynn Hauck
- Brownell Hilger
- Tracie Houle
- Nicole Cecelia Hubbs
- Annette Veneva Huff
- Hultman Lake Enterprises
All providers in Pine City, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.