JENNIFER FORDHAM NP NPI 1972237055

NPI Information

  • NPI: 1972237055
  • Provider Name: JENNIFER FORDHAM, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 575 1ST ST
    MACON, GA
    ZIP 31201
  • Phone: (478) 743-9762

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NPI Details

Jennifer Fordham, NP is an acute care nurse practitioner in Macon, GA with 4 years of experience. Jennifer Fordham, NP NPI is 1972237055. 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:

575 1ST ST
MACON, GA
ZIP 31201-825
Phone: (478) 743-9762
Fax: (478) 743-9465

The NPI 1972237055 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 7/13/2022 and was last updated on 10/9/2025.

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
1363LA2100XNurse PractitionerAcute CareAPRN-NP231473GEORGIAYes

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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