Individual
LILLA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
401 4TH ST SW STE 202, HICKORY, NC 28602-2872
(866) 588-0977
Mailing address
PO BOX 27378, BELFAST, ME 04915-2025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
261451
NC
363L00000X
Nurse Practitioner
Primary
5014808
NC
Other
Enumeration date
08/24/2021
Last updated
11/18/2021
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