Individual
MELISSA E FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2210 JACKSON ST, ANDERSON, IN 46016
(765) 683-3118
Mailing address
2210 JACKSON ST, ANDERSON, IN 46016-4363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10000923A
IN
363AM0700X
Medical Physician Assistant
Primary
10000923A
IN
Other
Enumeration date
01/24/2007
Last updated
06/22/2022
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