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Individual

JESSICA BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3090 MCBRIDE CT, HAMILTON, OH 45011-0811
(513) 863-8212
Mailing address
3090 MCBRIDE CT, HAMILTON, OH 45011-0811
(513) 863-8212

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2015003170
OH
363LG0600X
Gerontology Nurse Practitioner
2015003170
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0367438
OH
01
1134192727
MEDICARE
OH
Enumeration date
10/07/2015
Last updated
12/17/2020
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