person
Dr. Jacob Ford, MD
Student in an Organized Health Care Education/Training Program in Baton Rouge, Louisiana
NPI 1447719315

Jacob Ford is a Student in an Organized Health Care Education/Training Program based in Baton Rouge, LA. Jacob Ford practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Jacob Ford is 1447719315 and holds a License No. (Louisiana).

The current practice location address for Jacob Ford is 5246 Brittany Dr, Baton Rouge, LA and can be reached out via phone at 225-757-4080 and via fax at 225-757-4100.

Location: 5246 Brittany Dr, Baton Rouge, LA, 70808-9136
person
Provider Profile Details
NPI Number
1447719315
Provider Name
Jacob Ford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5246 Brittany Dr, Baton Rouge, LA, 70808-9136
Phone Number
225-757-4080
Fax Number
225-757-4100
Provider Enumeration Date
03/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2494937 05 LA
institution
Provider Business Practice Location Address Details
Address
5246 Brittany Dr
City
State
Zip
70808-9136
Phone Number
225-757-4080
Fax Number
225-757-4100
person
Provider Business Mailing Address Details
Address
5246 Brittany Dr
City
State
Zip
70808-9136
Phone Number
225-757-4080
Fax Number
225-757-4100
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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