person
Mrs. Addie Parks Herrod, CFNP
Family Nurse Practitioner in Canton, Mississippi
NPI 1689769796

Addie Parks Herrod is a Family Nurse Practitioner based in Canton, MS and is specialized in Family. Addie Parks Herrod practices in Canton, MS and has the professional credentials of CFNP. The NPI Number for Addie Parks Herrod is 1689769796 and holds a License No. R715247 (Mississippi).

The current practice location address for Addie Parks Herrod is 1668 W Peace St, Canton, MS and can be reached out via phone at 601-859-5213 and via fax at 601-859-8777.

Location: 1668 W Peace St, Canton, MS, 39046-0588
person
Provider Profile Details
NPI Number
1689769796
Provider Name
Addie Parks Herrod
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
1668 W Peace St, Canton, MS, 39046-0588
Phone Number
601-859-5213
Fax Number
601-859-8777
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08184344 05 MS
05179077 05 MS
institution
Provider Business Practice Location Address Details
Address
1668 W Peace St
City
State
Zip
39046-5332
Phone Number
601-859-5213
Fax Number
601-859-8777
person
Provider Business Mailing Address Details
Address
1668 W Peace St
City
State
Zip
39046-5332
Phone Number
601-859-5213
Fax Number
601-859-8777
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R715247 (Mississippi)
Definition
Definition to come...
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