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

MS. Nanette Cornish Ford, PAC

Individual provider Physician Assistant · NPI 1306055850

MS. Nanette Cornish Ford, PAC is a Physician Assistant in Ketchum, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

180 E Ave
Ketchum, ID 83340
Phone: (208) 725-0900
Fax: (208) 725-0901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA126 (ID)

Record details

NPI number1306055850
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 8, 2007

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