Individual
JILL FORD
Active
Individual
JILL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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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