Jessica Renee Ball
Student in an Organized Health Care Education/Training Program in Willoughby, OH. Individual provider (NPI-1).
NPI number1154166239
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1154166239
- Entity type
- Individual (NPI-1)
- Name
- Jessica Renee Ball
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2024
- Certification date
- Jun 28, 2024
- Last updated
- Jun 28, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
5098 Strawberry LnWilloughby, OH 44094-4328
Phone 440-904-0226
Mailing address
5098 Strawberry LnWilloughby, OH 44094-4328
Phone 440-904-0226
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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