Individual
MARIE SAXON FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1312 22ND AVE, STE. A, MERIDIAN, MS 39301-4015
(601) 701-2220
(601) 483-9520
Mailing address
2104 GAUSE BLVD W, STE. A, SLIDELL, LA 70460-4130
(985) 643-4575
(985) 643-4513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R881227
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03221576
—
MS
Enumeration date
09/27/2013
Last updated
08/18/2016
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