Individual provider · Type 1 NPI

Jaquelyn Michelle Ford, PA-C

Surgical Physician Assistant · Nashville, TN

NPI number 1164862124 Active

Practice location

1211 Medical Center Dr
Nashville, TN 37232-0011

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2368 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1164862124

Jaquelyn Michelle Ford, PA-C's National Provider Identifier is 1164862124, issued on Jul 4, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Nashville, TN. The record was last updated on Mar 25, 2022.