Individual provider · NPI-1

Jeanna Ann Ford, APRN

Clinical Nurse Specialist, Adult Health · Albuquerque, NM

NPI number1619383395
StatusActive
Last updated in NPPESJan 8, 2025

Details

NPI
1619383395
Entity type
Individual (NPI-1)
Name
Jeanna Ann Ford
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Jul 2, 2014
Certification date
Jan 8, 2025
Last updated
Jan 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SA2200X Clinical Nurse Specialist, Adult HealthCNS-00261NMYes
364SA2200X Clinical Nurse Specialist, Adult Health82623OK

Practice location

1823 Camino De Salud
Albuquerque, NM 87106-3782

Phone 505-688-6921 · Fax 505-925-4594

Mailing address

6608 Salt Cedar Trl Nw
Albuquerque, NM 87120-2384

Phone 505-585-1865

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