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NPI Code Detail

MEDICARE: RACHEL ALISHA FORD DO

MEDICARE: RACHEL ALISHA FORD DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1659213668
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ALISHA FORD DO
Provider Business Mailing Address
First Line : 400 W FOREST AVE FL 5
Second Line :
City : JACKSON
State : TN
Zip : 38301-4015
Country : US
Telephone Number : 731-927-8442
Fax Number : 731-927-8441
Provider Business Practice Location Address
First Line : UNIVERSITY OF TENNESSEE
Second Line : 290 MADISON AVENUE SUITE 447
City : MEMPHIS
State : TN
Zip : 38163-0001
Country : US
Telephone Number : 731-927-8442
Fax Number : 731-927-8441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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