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Provider Information for 1871915801


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JILL FOSTER P.C.


Sex: Female

NPI: 1871915801
Last Updated: 2025-03-07
Certification Date: 2025-03-07

Details

NameValue
NPI1871915801
Enumeration Date2014-01-10
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3701 GREENBRIAR RD
ASHLAND, KY 41102-6729
United States

Phone: 614-264-7334 | Fax:740-775-7855
 
Primary Practice Address 3701 GREENBRIAR RD
ASHLAND, KY 41102-6729
United States

Phone: 614-264-7334 | Fax:740-775-7855
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOH0200820
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthOHc.1200469