JENNA FORD


Address: 200 E Pennsylvania Ave, Peoria, IL 61603-3089
Phone: 3096244000

JENNA FORD (NPI# 1790139384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790139384
Entity Type Individual
Full Name JENNA FORD
Credential APN, PCNS
Practice Address 200 E Pennsylvania Ave
Peoria
IL 61603-3089
Practice Telephone 3096244000
Practice Fax Number 3096244010
Mailing Telephone 3096244000
Mailing Fax Number 3096244010
Enumeration Date 2016-04-20
Last Update Date 2016-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0200X Clinical Nurse Specialist
Specialization: Pediatrics
209.011547 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNA FORD

NPI Name Taxonomy Address Enumeration
1518526730 Jenna L Ford Behavioral Analyst 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 2019-06-11
1548721947 Jenna Ford Nurse Practitioner 7400 E Osborn Rd, Scottsdale, AZ 85251-6432 2019-03-28
1326423484 Jenna Ford Psychiatry & Neurology 622 W 168th St, New York, NY 10032-3720 2015-07-29

Office Location

Street Address 200 E PENNSYLVANIA AVE
City PEORIA
State IL
Zip Code 61603-3089

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912901711 James W Bauer Internal Medicine 200 E Pennsylvania Ave, Ste 105, Peoria, IL 61603-3045 2005-06-09
1205473154 Gargi Dnyanesh Gupte Physician Assistant 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2019-12-10
1487127734 Stephanie S Beckstrom Nurse Practitioner 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2019-01-09
1174093009 Katelyn M Johnson Nurse Practitioner 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2018-12-04
1093298127 Loan T Nguyen Nurse Practitioner 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2018-09-14
1922580695 Anna K Boyce Audiologist 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2018-08-30
1033604855 Caroline Marie Boczar Audiologist 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2018-06-25
1831608991 Laurel K Donaldson Audiologist 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2017-09-21
1851818835 Cynthia I Guede Nurse Practitioner 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2017-08-29
1275986051 Travis E. Towne Social Worker 200 E Pennsylvania Ave, Peoria, IL 61603-3089 2016-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598362980 Courtney Klein Nurse Practitioner 1306 N. Berkley Ave, Peoria, IL 61603 2020-10-08
1114588217 Kong Xing Wang Dentist 320 East Armstrong Ave, Peoria, IL 61603 2019-06-28
1073015319 Sara Kristine Rosenbery Nurse Practitioner 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 2018-03-02
1861860058 Jennifer Michelle Kelsey Clinical Nurse Specialist 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 2015-09-04
1467859793 Bonnie Lansing Counselor 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 2014-12-02
1639597172 Jael K. Mahasi Counselor 1800 Ne Perry Avenue, Peoria, IL 61603 2014-04-02
1992054829 Justin S Ferragut Radiology 530 Northeast Glen Oak Avenue, Peoria, IL 61603 2012-09-06
1780952994 Syed Muhammad Tayyab Internal Medicine 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 2011-12-02
1528389079 St. Francis Medical Center General Acute Care Hospital 530 N E Glen Oak Ave, Peoria, IL 61603 2010-06-18
1780810648 Children's Home Association of Illinois Voluntary or Charitable 400 E. Frye, Peoria, IL 61603 2009-06-05
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Taxonomy Information

Taxonomy Code 364SP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083062285 Heather A Boore Clinical Nurse Specialist 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603 2016-05-27
1669897930 Kristine Michelle Papis Clinical Nurse Specialist 320 E Armstrong Ave, Peoria, IL 61603-3172 2014-02-24
1114348620 Sarah E Dominique Clinical Nurse Specialist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2013-12-31
1396183786 Amy Zimmerman Clinical Nurse Specialist 507 E Armstrong Ave, Peoria, IL 61603-3201 2013-06-07
1700155793 Kristie Taggart Clinical Nurse Specialist 420 Ne Glen Oak Ave, Peoria, IL 61603-3105 2011-12-20
1144525452 Suzan Cathleen Shane-gray Clinical Nurse Specialist 530 Ne Glen Oak Ave, Pob 113, Peoria, IL 61637-0001 2011-01-18
1902136856 Maureen Whalen Hofmann Clinical Nurse Specialist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2009-12-28
1558393751 Tara Walker Clinical Nurse Specialist 14155 N 83rd Ave, Suite #110, Peoria, AZ 85381-5639 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962666123 Sharon Marie Coyer Clinical Nurse Specialist 534 Brownstone Dr, St Charles, IL 60174-2807 2008-07-16
1760646962 Thelma P. Reed Clinical Nurse Specialist 326 .west 64th St., Suite 412, Chicago, IL 60621-1334 2008-07-16
1871711283 Jeannine Marie Cheatham Clinical Nurse Specialist 5841 S Maryland Ave # Mc4064, Room C146, Chicago, IL 60637-1447 2007-04-23
1578649372 Renee C.b. Manworren Clinical Nurse Specialist 225 E. Chicago Avenue, Box 47, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611-2991 2006-10-27
1679594014 Therese Nancy Coha Clinical Nurse Specialist 2300 N Childrens Plz # 63, Chicago, IL 60614-3363 2006-07-21
1164908992 Megan Hughes Clinical Nurse Specialist 1775 W Dempster St, Park Ridge, IL 60068-1143 2018-07-16
1508381161 Nicholette M Andrews Clinical Nurse Specialist 355 E Erie St, Chicago, IL 60611-3167 2017-08-04
1043684533 Gabriel Campos Clinical Nurse Specialist 5841 S Maryland Ave, Chicago, IL 60637-1447 2015-11-20
1376937474 Rona Tiglao Clinical Nurse Specialist 1725 W Harrison St, Suite 710, Chicago, IL 60612-3841 2015-03-26
1992196380 Kimberly Duback Clinical Nurse Specialist 4440 W 95th St, Oak Lawn, IL 60453-2600 2015-02-06
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Competitor

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City PEORIA
Zip Code 61603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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