Individual
RAKEDRA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
1668 WEST PEACE STREET, P.O. BOX 588, CANTON, MS 39046
(601) 859-5213
(601) 859-8771
Mailing address
125 KENDALL LN, CRYSTAL SPRINGS, MS 39059-3217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906934
MS
363LF0000X
Family Nurse Practitioner
GAANP336869
GA
Other
Enumeration date
09/30/2024
Last updated
10/30/2025
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