Most Relevant Information
Provider Data
| NPI Number: | 1003650839 |
| Provider Name: | SHELBIE LYNNE FORD PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/25/2024 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
17000 MEDICAL CENTER DR
BATON ROUGE
LA
708163246
Practice Location Phone/Fax
| Phone: | 2257554858 |
| Fax: |
Provider Mailing Location
4512 MEADOWDALE ST
METAIRIE
LA
700064134
Provider Mailing Phone/Fax
| Phone: | 5046063531 |
| Fax: |