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NPI Code Detail

MEDICARE: BRENDA HUGEE FORD NP-C

MEDICARE: BRENDA HUGEE FORD NP-C
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
1363L00000XNurse PractitionerRN143698GA
2363LF0000XFamily Nurse Practitioner143698GA

General Provider Information

NPI Number : 1811323520
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA HUGEE FORD NP-C
Provider Business Mailing Address
First Line : 2620 ELM HILL PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4321 HARTLEY BRIDGE RD
Second Line :
City : MACON
State : GA
Zip : 31216-5641
Country : US
Telephone Number : 478-788-1015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2013
Last Update Date : 10/15/2023

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