Individual
JENNIFER FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
575 1ST ST, MACON, GA 31201-2825
(478) 743-9762
(478) 743-9465
Mailing address
575 1ST ST, MACON, GA 31201-2825
(478) 743-9762
(478) 743-9465
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP231473
GA
Other
Enumeration date
07/13/2022
Last updated
10/09/2025
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