NPI 1821378027 · live from the CMS NPI Registry
Stacy Ladeane Ford, WHNP
Nurse Practitioner, Women's Health in Columbia, SC. National Provider Identifier 1821378027, active.
NPI record
| NPI | 1821378027 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Women's Health 363LW0102X |
| Practice location | 2712 Middleburg Dr, Suite 107, Columbia, SC 29204 |
| Practice phone | 803-256-4908 |
| Mailing address | 100 S Boylan Ave, Raleigh, NC 27603 |
| Enumerated | August 19, 2011 |
| Last updated | April 17, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | FOR104269443 (GA) |
| Nurse Practitioner | 363L00000X | RN102954 (GA) |
| Nurse Practitioner, Women's Health primary | 363LW0102X | 4036 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.