Ferdelman, Jill R

Ferdelman, Jill R is an individual health care provider with primary practice located at 662 N Main St , Springboro OH 45066-9553. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Ferdelman, Jill R can be contacted via phone (937) 641-5066.

Contact Information

Primary practice address
662 N Main St Springboro OH 45066-9553
Phone: (937) 641-5066
Fax: (937) 550-9797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.00235 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.00235 Ohio

Profile Details

NPI number 1811042963
LBN Legal business name Ferdelman, Jill R
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Oct 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811042963 NPPES
Ohio MEDICAID 2156698

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