Provider Demographics
NPI:1457650426
Name:HAYMAN, JESSICA FORD (ND)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:FORD
Last Name:HAYMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1593
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86339-1593
Mailing Address - Country:US
Mailing Address - Phone:480-225-3209
Mailing Address - Fax:
Practice Address - Street 1:225 ZANE GREY DR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-3946
Practice Address - Country:US
Practice Address - Phone:480-225-3209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10-1229175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath