Individual
MRS. DESIRAE JO FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-CNP
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3349
(405) 552-0450
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 949-3349
(405) 552-0450
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
82717
OK
Other
Enumeration date
04/25/2013
Last updated
04/05/2017
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