Healthcare Provider Details

I. General information

NPI: 1407418130
Provider Name (Legal Business Name): LINDSAY FORD CPNP-PC, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY JEAN MCKNIGHT

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 CLIFTON RD NE
ATLANTA GA
30322-1060
US

IV. Provider business mailing address

1405 CLIFTON RD NE
ATLANTA GA
30322-1060
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-6670
  • Fax:
Mailing address:
  • Phone: 404-785-6670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number232227
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: