Individual
MS. TAMARA C FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN, AGNP-BC
Contact information
Practice address
3850 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807-5230
(417) 882-4880
(417) 882-7843
Mailing address
2008 S HILLOCK CT, OZARK, MO 65721-8595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG06170163
MO
363LG0600X
Gerontology Nurse Practitioner
AG06170163
MO
Other
Enumeration date
07/12/2017
Last updated
10/14/2022
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