Individual
MRS. ELEANOR SHIELS FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
5224 VALLEY ST, MERIDIAN, MS 39307-6271
(601) 693-2451
(601) 484-5013
Mailing address
5224 VALLEY ST, MERIDIAN, MS 39307-6271
(601) 693-2451
(601) 484-5013
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R513245
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123997
—
MS
Enumeration date
10/24/2006
Last updated
07/08/2007
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