Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Leigh Ford, NP

Individual provider Nurse Practitioner · NPI 1174344584

Jacqueline Leigh Ford, NP is a Nurse Practitioner in Wyncote, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Qofl Services LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

804 Glenside Ave
Wyncote, PA 19095-1202
Phone: (215) 360-4702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP030072 (PA)

Record details

NPI number1174344584
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 18, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Qofl Services Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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