Individual
EDEN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CCRN
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 325-1334
Mailing address
132 RICHMOND WAY, CANTON, MS 39046-6000
(601) 325-1334
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
920907
MS
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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