Provider Demographics
NPI:1659874220
Name:FORD, BARBARA A
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:FORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 STAFFORD PL
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-2738
Mailing Address - Country:US
Mailing Address - Phone:205-246-1219
Mailing Address - Fax:205-737-7136
Practice Address - Street 1:3815 STAFFORD PL
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-2738
Practice Address - Country:US
Practice Address - Phone:205-246-1219
Practice Address - Fax:205-737-7136
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-09
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL624410251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care