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1427619212
JESSICA FORD
FORT WAYNE, IN
NPI
1427619212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28197613A)
Enumeration Date
2019-06-24
Last Update Date
2024-07-08
Business Address
JESSICA FORD NP-C
3707 NEW VISION DR
FORT WAYNE, IN 46845-1702
Phone number: 260-484-0850
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Mailing Address
JESSICA FORD NP-C
620 W EDISON RD STE 1110
MISHAWAKA, IN 46545-2784
Phone number: 574-258-1110
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