Individual
JASMINE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N. UNIVERSITY, 200, LITTLE ROCK, AR 72207-3549
(501) 891-7839
Mailing address
1100 N. UNIVERSITY, 200, LITTLE ROCK, AR 72207-3549
(501) 891-7839
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/31/2017
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