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Individual

JOAN ELIZABETH FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
2611 WOODLEY PARK DR, MONTGOMERY, AL 36116-3834
(334) 288-0009
(334) 281-7453
Mailing address
2611 WOODLEY PARK DR, MONTGOMERY, AL 36116-3834
(334) 288-0009
(334) 281-7453

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
78144
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
78144
PEDIATRIC NURSING CERTIFICATION BOARD
AL
Enumeration date
02/09/2010
Last updated
02/09/2010
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