RENAY FORD RN NPI 1780090639

NPI Information

NPI: 1780090639
Provider Name: RENAY FORD, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
620 S LAUREL ST
PINE BLUFF, AR
ZIP 71601
Phone: (870) 534-4900
Get Directions

Renay Ford, RN is a psychiatric/mental health registered nurse in Pine Bluff, AR. Renay Ford, RN NPI is 1780090639. 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:

620 S LAUREL ST
PINE BLUFF, AR
ZIP 71601-859
Phone: (870) 534-4900
Fax: (870) 534-4906

The enumeration date for this NPI number is 7/10/2014 and was last updated on 7/10/2014.

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
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	R074378	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	180635526	MEDICAID	ARKANSAS

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: 4/28/2024

NPI Synchronization or Removal

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