Provider Demographics
NPI:1912789132
Name:FORD, ASHLEY MELISSA
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MELISSA
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 1:2219 TOWN CENTER DR SE APT 336
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4038
Mailing Address - Country:US
Mailing Address - Phone:771-216-6106
Mailing Address - Fax:
Practice Address - Street 1:2501 25TH ST SE APT 417
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3253
Practice Address - Country:US
Practice Address - Phone:202-889-1894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide