Individual
MIRANDA LOU FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
121 S 2ND ST, BALDWYN, MS 38824-2216
(662) 365-2725
Mailing address
121 S 2ND ST, BALDWYN, MS 38824-2216
(662) 365-2725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905755
MS
Other
Enumeration date
01/23/2023
Last updated
03/01/2023
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