RAKEDRA FORD DNP APRN FNP-C NPI 1568280436

NPI Information

  • NPI: 1568280436
  • Provider Name: RAKEDRA FORD, DNP, APRN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1668 WEST PEACE STREET
    P.O. BOX 588
    CANTON, MS
    ZIP 39046
  • Phone: (601) 859-5213

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NPI Details

Rakedra Ford, DNP, APRN, FNP-C is a family nurse practitioner in Canton, MS with 2 years of experience. Rakedra Ford, DNP, APRN, FNP-C NPI is 1568280436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2024

The provider's business location address is:

1668 WEST PEACE STREET
P.O. BOX 588
CANTON, MS
ZIP 39046
Phone: (601) 859-5213
Fax: (601) 859-8771

The NPI 1568280436 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/30/2024 and was last updated on 10/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily906934MISSISSIPPIYes
2363LF0000XNurse PractitionerFamilyGAANP336869GEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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