Individual
DIANA J FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(870) 910-7710
Mailing address
14 COUNTY ROAD 917, BROOKLAND, AR 72417-8873
(870) 253-4349
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R81466
AR
363LF0000X
Family Nurse Practitioner
Primary
A004096
AR
Other
Enumeration date
06/12/2009
Last updated
02/23/2015
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