Individual
JENNIFER ANN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 WELLNESS WAY STE G12, LATHAM, NY 12110-2144
(518) 980-9050
(518) 980-9051
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421581
NY
Other
Enumeration date
10/22/2009
Last updated
04/22/2025
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