Individual provider · Type 1 NPI
Eden Ford, MSN, APRN, AGACNP-BC
Acute Care Nurse Practitioner · Jackson, MS
NPI number
1295614568
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 920907 (MS) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 908570 (MS) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1295614568
Eden Ford, MSN, APRN, AGACNP-BC's National Provider Identifier is 1295614568, issued on Aug 29, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, MS. The record was last updated on Jul 6, 2026.