Individual
MRS. JENNIFER YVONNE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 QUARTZ DR STE 101, VILLA RICA, GA 30180-3256
(770) 812-0445
(770) 942-8800
Mailing address
101 QUARTZ DR STE 101, VILLA RICA, GA 30180-3256
(770) 836-9445
(770) 836-8808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP137808
GA
Other
Enumeration date
04/04/2025
Last updated
10/10/2025
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