Individual
MRS. JENNIFER LAURA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3774 S 56TH ST, GREENFIELD, WI 53220-2047
(414) 915-2731
Mailing address
3774 S 56TH ST, GREENFIELD, WI 53220-2047
(414) 915-2731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
155254-30
WI
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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