Provider / Organization | NPI | Date Certified |
---|---|---|
JENNIFER FORD | 1568078053 | 2020-09-20 |
Jennifer Ford is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568078053. Registration indicates Jennifer Ford is a provider of services with a specialization in Nursing Service Related Providers, Home Health Aide (Home Health Aide, ) (Home Health Aide, Nursing Service Related Providers)
Entity Type | Individual |
Provider Name | Jennifer Ford |
Practice Office Address | 432 CYPRESS DR LAKE PARK, FL US |
Practice Office Telephone | 5614905663 |
Mailing Address | 432 CYPRESS DR LAKE PARK, FL 334033333 US |
Business Telephone | 5614905663 |
Code | Practice | License No State |
---|---|---|
374U00000X PRIMARY | Nursing Service Related Providers Home Health Aide Home Health Aide Home Health Aide Nursing Service Related Providers | |
193400000X SING | Group Code |