Ann Radford, FNP

Individual provider Active NPI Family Nurse Practitioner · Jamestown, CA

NPI 1497075790 · NPPES record last updated Jun 9, 2010

Key facts

NPI
1497075790
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
19825 (CA)
Practice address
18144 Seco St
Jamestown, CA 95327-9737
Phone
(209) 984-4820
Fax
(209) 984-4825
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
19825CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mathiesen Memorial Health Center Past
since Jun 5, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19825 CA Yes

Addresses

Primary practice location

18144 Seco St
Jamestown, CA 95327-9737

Mailing address

18144 Seco St
Jamestown, CA 95327-9737
Phone (209) 984-4820

Other providers in Jamestown, CA

All providers in Jamestown, CA · Family Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.