Individual
JENNIFER JEAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
295 HILLCREST LN, FOND DU LAC, WI 54935-4730
(920) 904-5539
Mailing address
295 HILLCREST LN, FOND DU LAC, WI 54935-4730
(920) 904-5539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16485-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100371007
—
WI
Enumeration date
02/26/2025
Last updated
12/04/2025
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