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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811042963 | NPPES |
Ohio | MEDICAID | 2156698 |
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