Provider Demographics
NPI:1235023920
Name:FORD, SIERRA (PA)
Entity type:Individual
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First Name:SIERRA
Middle Name:
Last Name:FORD
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:13277 E OAK HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SOLSBERRY
Mailing Address - State:IN
Mailing Address - Zip Code:47459-8386
Mailing Address - Country:US
Mailing Address - Phone:812-325-9897
Mailing Address - Fax:
Practice Address - Street 1:550 S LANDMARK AVE
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-3239
Practice Address - Country:US
Practice Address - Phone:812-330-3689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant