Individual
VICTORIA ASHLEY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3 THOMPSON PARK, HATTIESBURG, MS 39401-8202
(601) 579-3130
(601) 544-3688
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-3130
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
872117
MS
363LF0000X
Family Nurse Practitioner
Primary
R872117
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04586327
—
MS
Enumeration date
10/28/2008
Last updated
07/23/2020
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