Individual provider · Type 1 NPI

Addie Parks Herrod, CFNP

Family Nurse Practitioner · Canton, MS

NPI number 1689769796 Active

Practice location

1668 W Peace St
Canton, MS 39046-5332

Fax (601) 859-8777

Mailing address

PO Box 588
Canton, MS 39046-0588

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR715247 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1689769796

Addie Parks Herrod, CFNP's National Provider Identifier is 1689769796, issued on Oct 4, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canton, MS. The record was last updated on Sep 29, 2026.