Healthcare Provider Details

I. General information

NPI: 1467013805
Provider Name (Legal Business Name): APRIL Y FORD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2019
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1861 BOSTON COMMONS WAY
JACKSONVILLE FL
32221-2131
US

IV. Provider business mailing address

1861 BOSTON COMMONS WAY
JACKSONVILLE FL
32221-2131
US

V. Phone/Fax

Practice location:
  • Phone: 904-982-0684
  • Fax:
Mailing address:
  • Phone: 904-982-0684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9583640
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN9583640
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9583640
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: