Individual
MRS. CHRISTAL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN-BC
Contact information
Practice address
10854 CHICKASHA DR, TYLER, TX 75703-7924
(601) 832-0832
Mailing address
10854 CHICKASHA DR, TYLER, TX 75703-7924
(601) 832-0832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
917808
TX
163WC0400X
Case Management Registered Nurse
2020013151
TX
Other
Enumeration date
05/07/2019
Last updated
09/08/2020
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