Whalio Doctors

NPI 1013446921

Jessica Ford-Davis, DO

Practitioner Pediatrics Physician Peoria, IL

Practice location

Address
530 NE Glen Oak Ave, Peoria, IL 61637-0001
Phone
(309) 655-2274

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 125070529 (IL)

Registry record

NPI
1013446921
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Jun 2017
Record last updated
25 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.