Individual
JESSE WAYNE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-3331
Mailing address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-3331
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
A001899
AR
Other
Enumeration date
06/11/2007
Last updated
09/12/2018
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