Individual
MRS. JILL R FERDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
662 N MAIN ST, SPRINGBORO, OH 45066-9553
(937) 641-5066
(937) 550-9797
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-3000
(937) 641-4500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.00235
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.00235
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156698
—
OH
Enumeration date
01/25/2007
Last updated
10/21/2021
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