Individual
MRS. JALEEN LYNN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 985-1093
(480) 296-7665
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
(480) 296-7665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
131489
NC
363LF0000X
Family Nurse Practitioner
201407547NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
290613
AZ
363LP2300X
Primary Care Nurse Practitioner
201407547NP-PP
OR
Other
Enumeration date
10/19/2012
Last updated
07/31/2026
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