Individual
JAQUELYN MICHELLE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0011
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2368
TN
Other
Enumeration date
07/04/2013
Last updated
03/25/2022
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