JESSIKA A FORD


Address: 1402 E County Line Rd, Indianapolis, IN 46227
Phone: 3178877805

JESSIKA A FORD (NPI# 1336632108) 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) 1336632108
Entity Type Individual
Full Name JESSIKA A FORD
Credential NP
Practice Address 1402 E County Line Rd
Indianapolis
IN 46227
Mailing Address 6626 E 75th St Ste 500
Indianapolis
IN 46250-2890
Practice Telephone 3178877805
Mailing Telephone 3176217588
Enumeration Date 2018-06-07
Last Update Date 2018-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71008007A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICARE RAIDROAD P02078322 01
IN 300014638 05

Office Location

Street Address 1402 E COUNTY LINE RD
City INDIANAPOLIS
State IN
Zip Code 46227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306842026 Ashish Patel Internal Medicine 1402 E County Line Rd, Indianapolis, IN 46227 2005-06-27
1740898931 Hayley Robertson Pharmacist 1402 E County Line Rd, Indianapolis, IN 46227-0963 2020-07-14
1255957668 Trisha Kinder Pharmacy Technician 1402 E County Line Rd, Indianapolis, IN 46227-0963 2020-06-22
1124677000 Amanda Marie Mccoy Ignaut Nurse Practitioner 1402 E County Line Rd, Indianapolis, IN 46227-0963 2019-09-04
1609436252 Megan Siebert Clinical Nurse Specialist 1402 E County Line Rd, Indianapolis, IN 46227-0963 2019-06-17
1235602335 Sara R Reichert Registered Nurse 1402 E County Line Rd, Indianapolis, IN 46227-0963 2019-01-10
1548737372 Aubrey E. Mcmahon Physician Assistant 1402 E County Line Rd, Indianapolis, IN 46227-0963 2018-10-30
1003392440 Cortnie N Yoder Physician Assistant 1402 E County Line Rd, Indianapolis, IN 46227-0963 2018-07-18
1295211639 Sarah Rice Physician Assistant 1402 E County Line Rd, Indianapolis, IN 46227 2018-07-18
1225557168 Justina Breighann Wellman Nurse Practitioner 1402 E County Line Rd, Indianapolis, IN 46227-0963 2017-09-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679184477 Zachry Skinner Specialist/Technologist 1683 E Hanna Ave, Indianapolis, IN 46227 2020-08-14
1104481415 Corinne Mcdonald Music Therapist 7502 Madison Avenue, Indianapolis, IN 46227 2019-05-02
1205318649 Kesha Conner Counselor 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 2018-09-01
1609369719 Victoria Lynn West Arnold Physician Assistant 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 2018-06-13
1518466960 Debra Cottongim Physical Therapy Assistant 6329 South East St, Ste A, Indianapolis, IN 46227 2018-02-12
1962943019 Fresenius Medical Care Indiana, LLC Clinic/Center 6826 Madison Ave, Indianapolis, IN 46227 2017-03-09
1205386687 Kylie Rochelle Bontrager Dentist 3658 East Street, Indianapolis, IN 46227 2016-10-10
1013371137 Kayla Ford Occupational Therapist 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 2016-04-06
1639551344 Sara Allyn Shrivastav Technician, Other 3711 E Southport Rd, Indianapolis, IN 46227 2015-06-18
1598146565 Theodore Christian Seger Family Medicine 610 E Southport Rd Ste 205, Indianapolis, IN 46227 2015-06-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386244176 Mallory Lee Anslow Nurse Practitioner 10641 Deercrest Ln, Indianapolis, IN 46239-9690 2020-10-29
1922614965 Children Express Care Clinic LLC Nurse Practitioner 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 2020-09-16
1255956272 Heather Nicole Zore Nurse Practitioner 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 2020-06-15
1457976615 Adam Weir Nurse Practitioner 960 E Washington St, Indianapolis, IN 46202-3981 2020-06-13
1457975740 Ayee Teah Bleemie Nurse Practitioner 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 2020-06-02
1689294357 May Josefa Ishikawa Nurse Practitioner 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 2020-04-22
1760001200 John Shaver Nurse Practitioner 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 2020-04-14
1851931000 Robin L Petit Nurse Practitioner 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 2020-01-15
1952941577 Andreya Beckett Nurse Practitioner 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 2020-01-11
1053950105 Shannon Malecki Nurse Practitioner 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 2020-01-06
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Competitor

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City INDIANAPOLIS
Zip Code 46227

Improve Information

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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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