Individual
LINDA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11809 HIGHWAY 84 W, JENA, LA 71342-3703
(318) 992-4133
(318) 992-4134
Mailing address
PO BOX 1470, JENA, LA 71342-1470
(318) 992-4133
(318) 992-4134
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP09074
LA
Other
Enumeration date
11/17/2016
Last updated
10/10/2019
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