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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 2368 (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.