Individual
MRS. PATRICIA RUSSELL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
360 E EH CRUMP BLVD, MEMPHIS, TN 38126-5394
(901) 261-2000
(901) 432-0512
Mailing address
360 E EH CRUMP BLVD, MEMPHIS, TN 38126-5394
(901) 261-2000
(901) 432-0521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
35773
TN
Other
Enumeration date
02/26/2024
Last updated
07/22/2024
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