Individual
JENNY LORRAINE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
193200000X
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
1608692
MN
Other
Enumeration date
02/17/2022
Last updated
02/23/2022
Update your record
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