Individual
JAMIE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
207 MURRAY DR, NEWPORT, TN 37821-3631
(423) 623-1057
Mailing address
207 MURRAY DR, NEWPORT, TN 37821-3631
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16107
TN
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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