JAQUELYN MICHELLE FORD


Address: 1211 Medical Center Dr, Nashville, TN 37232-0011
Phone: 6153225000

JAQUELYN MICHELLE FORD (NPI# 1164862124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164862124
Entity Type Individual
Full Name JAQUELYN MICHELLE FORD
Credential PA-C
Practice Address 1211 Medical Center Dr
Nashville
TN 37232-0011
Mailing Address 1161 21st Ave S
Aa1204 Medical Center North
Nashville
TN 37232-0011
Practice Telephone 6153225000
Mailing Telephone 6153431465
Mailing Fax Number 6153437317
Enumeration Date 2013-07-04
Last Update Date 2020-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
2368 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1211 MEDICAL CENTER DR
City NASHVILLE
State TN
Zip Code 37232-0011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730189507 Anne Brant Kirk Nurse Anesthetist, Certified Registered 1211 Medical Center Dr, Ste 3255, Nashville, TN 37232-0004 2005-07-22
1104433697 Sydney Clare Madison Pharmacist 1211 Medical Center Dr, Nashville, TN 37232-0004 2020-09-28
1790390854 Michelle Aislinn Kidwiler Registered Nurse 1211 Medical Center Dr, Nashville, TN 37232-0004 2020-09-14
1306450192 Presley Burns Pharmacist 1211 Medical Center Dr, Nashville, TN 37232-0004 2020-08-31
1508477704 Brian Lee Dixon Nurse Practitioner 1211 Medical Center Dr, Nashville, TN 37232-0004 2020-08-11
1356950950 Roya Hajostad Nourani Nurse Practitioner 1211 Medical Center Dr, Nashville, TN 37232-0004 2020-07-29
1457960445 Alexandra Cook Nurse Practitioner 1211 Medical Center Dr, Nashville, TN 37232-0004 2020-07-27
1235747098 Javier Santos Garrido Audiologist 1211 Medical Center Dr, Nashville, TN 37232-0004 2020-07-17
1215545140 Nicole Mullen Nurse Practitioner 1211 Medical Center Dr, Nashville, TN 37232-0004 2020-07-16
1992320170 Christina I Miller Nurse Practitioner 1211 Medical Center Dr, Nashville, TN 37232-0004 2020-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831717578 Kathleen Elizabeth Quick Audiologist 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 2020-07-09
1609497700 Alissar El Chediak Student in an Organized Health Care Education/Training Program 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 2020-04-29
1386209690 David William John Armstrong Student in an Organized Health Care Education/Training Program 1215 21st Ave S 5th Floor, Nashville, TN 37232 2019-05-02
1063075331 Margaret Elizabeth Galloway Student in an Organized Health Care Education/Training Program Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 2019-04-22
1457832420 Jill Murphree Dietitian, Registered 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 2018-08-27
1861980757 Ryan Chaliff Student in an Organized Health Care Education/Training Program Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 2018-04-25
1023505385 Nelly-ange Kontchou Student in an Organized Health Care Education/Training Program 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 2018-04-21
1396232377 Katie Lee Ford Student in an Organized Health Care Education/Training Program 2200 Children's Way, 8161 Dot, Nashville, TN 37232 2018-04-16
1073015814 Nicole Sapone Mandrycky Nurse Practitioner 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 2018-03-07
1992220982 Alanna Salituro Physical Therapist 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 2017-08-10
Find all providers in zip 37232

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841690096 Arun Alex Physician Assistant 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 2014-08-25
1144463936 Marcus S. Burns Physician Assistant 2010 Church St Ste 700, Nashville, TN 37203-2072 2009-04-09
1154425627 Kevin Chalaron Barry Physician Assistant 203 Mason Ave Apt 6, Nashville, TN 37203-1119 2006-09-12
1851384473 Timothy James Hornyak Physician Assistant 1310 24th Ave S, Nashville, TN 37212-2637 2005-08-30
1841899879 Hughston Clinic Southeast,pc Physician Assistant 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 2020-10-21
1891255022 Matthew Steven Hawkins Physician Assistant 1912 Charlotte Ave, Nashville, TN 37203-2107 2019-03-22
1598231060 Jessica Uvarov Physician Assistant 1912 Charlotte Ave, Nashville, TN 37203-2107 2018-10-22
1154863298 Andrew Charles Cressman Physician Assistant 2400 Patterson St, Suite 300, Nashville, TN 37203-1562 2016-11-07
1174990899 Ap of Nashville, LLC Physician Assistant 2000 Glen Echo Rd Ste 111, Nashville, TN 37215-2857 2015-08-28
1326440199 Amanda Dreve Physician Assistant 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 2014-09-23
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Competitor

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City NASHVILLE
Zip Code 37232

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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