Individual
MRS. NICOLE JOANNE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11 DOVE LN, ISHPEMING, MI 49849-9234
(906) 204-8801
Mailing address
11 DOVE LN, ISHPEMING, MI 49849-9234
(906) 204-8801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704279369
MI
363LF0000X
Family Nurse Practitioner
4704279369
MI
Other
Enumeration date
05/09/2024
Last updated
03/05/2026
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