Active NPIIndividual providerSole proprietor

Jan Ford, NP

Nurse Practitioner, Psych/Mental Health in Lanoka Harbor, New Jersey

NPI Number1912564428
Practice location
500 Main St Ste 1, Lanoka Harbor, NJ 08734-2228
Fax
732-719-1920
Last updated
August 15, 2022

Jan Ford is a Nurse Practitioner, Psych/Mental Health based in Lanoka Harbor, NJ. Jan Ford practices in Lanoka Harbor, NJ and has the professional credentials of NP. The NPI Number for Jan Ford is 1912564428 and holds a License No. 26NJ00922600 (NJ). The current practice location address for Jan Ford is 500 Main St Ste 1, Lanoka Harbor, NJ 08734-2228 and can be reached out via phone at 732-719-1920 and via fax at 732-719-1920.

Provider Profile Details

NPI Number
1912564428
Provider Name
Jan Ford
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
500 Main St Ste 1, Lanoka Harbor, NJ 08734-2228
Phone Number
732-719-1920
Fax Number
732-719-1920
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2019
Last Update Date
August 15, 2022
Certification Date
August 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Main St Ste 1
Lanoka Harbor, NJ 08734-2228
Zip
08734-2228
Phone Number
732-719-1920
Fax Number
732-719-1920
Lanoka Harbor, NJ 08734Get directions →

Provider Business Mailing Address Details

Address
500 Main St Ste 1
Lanoka Harbor, NJ 08734-2228
City
Lanoka Harbor
State
NJ
Zip
08734-2228
Phone Number
732-719-1920
Fax Number
732-719-1920

License Information

License Number (1)
26NJ00922600
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
26NJ00922600
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jan Ford, NP?

The NPI number of Jan Ford, NP is 1912564428. It was assigned on May 21, 2019 and is currently active in the NPPES registry.

What is the specialty of Jan Ford, NP?

Jan Ford, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00922600.

Where does Jan Ford, NP practice?

The practice location is 500 Main St Ste 1, Lanoka Harbor, NJ 08734-2228. The office can be reached at 732-719-1920 (phone) or 732-719-1920 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912564428 directly on the NPPES registry website.

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