MRS. JILL R FERDELMAN PNP
NPI 1811042963
Nurse Practitioner - Pediatrics in Springboro, OH

Q: What is Jill Ferdelman's NPI number?

The NPI number for Jill Ferdelman is 1811042963. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Jill Ferdelman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jill Ferdelman was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2007

662 N MAIN ST, SPRINGBORO, OH 45066(937) 641-5066(937) 550-9797 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2021, Jan 8, 2021, Dec 2, 2019 (3 updates tracked since 2019).

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About Mrs. Jill R Ferdelman Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JILL R FERDELMAN PNP (NPI 1811042963) is an individual pediatrics provider in Springboro, Ohio, licensed in Ohio (APRN.CNP.00235) and active in the NPI registry since January 2007. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1811042963

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. JILL R FERDELMANCredential: PNP

Location Address662 N MAIN STSpringboro, OH 45066-9553

Mailing Address1 Childrens PlzDayton, OH 45404-1873 · (937) 641-3000 · Fax (937) 641-4500

Phone(937) 641-5066

Fax(937) 550-9797

Sole ProprietorNo

Enumeration DateJanuary 25, 2007

Last NPPES UpdateOctober 21, 20213 updates tracked since enumeration

NPPES CertifiedOctober 21, 2021

✔ NPI 1811042963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in OH · APRN.CNP.00235

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN.CNP.00235 (OH)

662 N MAIN ST, Springboro, OH 45066

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Secondary Practice Locations 4

Location 18501 Old Troy PikeHuber Heights, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791

Location 27787 Cox LnWest Chester, OH 45069-6549 · Phone (937) 641-5757 · Fax (513) 847-1192

Location 33333 W Tech BlvdMiamisburg, OH 45342-0955 · Phone (937) 641-3000 · Fax (937) 641-4500

Location 48809 Wilkens BlvdMason, OH 45040-7390 · Phone (937) 641-4999 · Fax (513) 204-0292

Other Identifiers 1

Medicaid2156698OH

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA A EICHMANN PNP

Nurse Practitioner (Pediatrics)