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Individual

JESSICA FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(260) 484-0850
Mailing address
620 W EDISON RD STE 1110, MISHAWAKA, IN 46545-2784
(574) 258-1110

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28197613A
IN

Other

Enumeration date
06/24/2019
Last updated
07/08/2024
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