Individual
JENNA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, PCNS
Contact information
Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
209.011547
IL
Other
Enumeration date
04/20/2016
Last updated
06/09/2016
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