Ford, Jan

Ford, Jan is an sole proprietor health care provider with primary practice located at 500 Main St Ste 1 , Lanoka Harbor NJ 08734-2228. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ford, Jan can be contacted via phone (732) 719-1920.

Contact Information

Primary practice address
500 Main St Ste 1 Lanoka Harbor NJ 08734-2228
Phone: (732) 719-1920
Fax: (732) 719-1920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00922600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00922600 New Jersey

Profile Details

NPI number 1912564428
LBN Legal business name Ford, Jan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2019
Last updated Aug 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912564428 NPPES
New Jersey Other 26NJ00922600 FOR COMMERCIAL INSURANCES
New Jersey MEDICAID 26NJ00922600 FOR COMMERCIAL INSURANCES
New Jersey Other 26NJ00922600 FOR COMMERCIAL INSURANCES

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