Individual
JESSICA L FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHILD CARE PROVIDER
Contact information
Practice address
2161 S 16TH ST, MILWAUKEE, WI 53215-2617
(414) 722-1710
Mailing address
2161 S 16TH ST, MILWAUKEE, WI 53215-2617
(414) 722-1710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
376K00000X
Nurse's Aide
WI031262101193
WI
Other
Enumeration date
11/28/2023
Last updated
12/02/2024
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