Jenna Ford, APN, PCNS Valid NPI
Individual provider · Pediatric Clinical Nurse Specialist · Peoria, IL
- NPI
- 1790139384
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Clinical Nurse Specialist (Clinical Nurse Specialist)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 364SP0200X
- License number
- 209.011547 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-04-20
- Last updated
- 2016-06-09
Practice location
200 E Pennsylvania Ave
Peoria, IL 61603-3089
(309) 624-4000