Individual
DUSTIN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3975 ROBINSON RD, NEWTON, NC 28658-9715
(828) 466-0466
(828) 466-8862
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 719-4127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012697
KY
363LF0000X
Family Nurse Practitioner
Primary
3012697
KY
Other
Enumeration date
12/16/2018
Last updated
01/03/2022
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