Individual
JESSICA SUE GABRIELLE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 ROSE ST FL 1, LEXINGTON, KY 40536-8721
(859) 562-1085
(859) 257-5152
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
05023
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
05023
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
OS21268
FL
Other
Enumeration date
04/11/2018
Last updated
04/09/2025
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