Individual
JILL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 W 101TH AVE, COLUMBUS, OH 43210
(614) 293-8619
(614) 293-6420
Mailing address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8619
(614) 293-6420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284360
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
COA17954.NP
OH
Other
Enumeration date
06/03/2015
Last updated
08/31/2015
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