Individual ProviderJulie FordNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address231 Methodist Hospital Blvd, Hattiesburg, MS 39402-1297(601) 296-3530PECOS EnrollmentBased on the most recent information from CMS, provider Julie Ford is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1427156843Provider TypeIndividualFull NameFord, JulieTitleMrs.CredentialCFNPGenderFemaleSole ProprietorNoEnumeration Date9/20/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address231 Methodist Hospital Blvd, Hattiesburg, MS 39402-1297Phone(601) 296-3530FaxUnlisted FaxMailing LocationMailing Address231 Methodist Hospital Blvd, Hattiesburg, MS 39402-1297PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR824006Mississippi