Individual
JENNIFER FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1441 N TRACY BLVD, TRACY, CA 95376-3445
(877) 855-7526
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020710
CA
Other
Enumeration date
09/12/2022
Last updated
12/06/2024
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