Individual
JODY A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1430 HWY 96 E - MAIL STOP 32300A, WHITE BEAR LAKE, SAINT PAUL, MN 55110-7693
(651) 426-1980
(651) 653-2111
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 653-2111
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
12430
MN
Other
Enumeration date
03/07/2008
Last updated
11/30/2011
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