Ford, Laura S

Ford, Laura S is an individual health care provider with primary practice located at 2525 Desales Ave , Chattanooga TN 37404-1161. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ford, Laura S can be contacted via phone (423) 495-2620.

Contact Information

Primary practice address
2525 Desales Ave Chattanooga TN 37404-1161
Phone: (423) 495-2620
Fax: (423) 495-2625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 105927 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 105927 Tennessee

Profile Details

NPI number 1881672327
LBN Legal business name Ford, Laura S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jun 26th, 2012 - about 12 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 1881672327 NPPES
Tennessee MEDICAID 3642494

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