Ford, Eleanor Shiels

Ford, Eleanor Shiels is an individual health care provider with primary practice located at 5224 Valley St , Meridian MS 39307-6271. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Ford, Eleanor Shiels can be contacted via phone (601) 693-2451.

Contact Information

Primary practice address
5224 Valley St Meridian MS 39307-6271
Phone: (601) 693-2451
Fax: (601) 484-5013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R513245 Mississippi

Profile Details

NPI number 1790869014
LBN Legal business name Ford, Eleanor Shiels
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790869014 NPPES
Mississippi MEDICAID 00123997

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