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JUDITH FORD C.R.N.P.

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1073821849

Individual Registrant:
 JUDITH  FORD C.R.N.P.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6501 US HIGHWAY 231  WETUMPKA, AL 36092-2837 US
Tel: 334-567-1171  Fax: 334-514-5832

Contact information for business:
201 MONROE ST SUITE 1386 MONTGOMERY, AL 36104-3735 US
Tel: 334-206-7959  Fax: 334-206-3998

Registration Information:
NPI: 1073821849
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-028121

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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