TANESHA FORD FNP NPI 1063290534

NPI Information

  • NPI: 1063290534
  • Provider Name: TANESHA FORD, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4700 PUDDLEDOCK RD STE 300
    PRINCE GEORGE, VA
    ZIP 23875
  • Phone: (804) 526-1111

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NPI Details

Tanesha Ford, FNP is a family nurse practitioner in Prince George, VA with 3 years of experience. Tanesha Ford, FNP NPI is 1063290534. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4700 PUDDLEDOCK RD STE 300
PRINCE GEORGE, VA
ZIP 23875-268
Phone: (804) 526-1111

The NPI 1063290534 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/18/2023 and was last updated on 9/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024187907VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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