Healthcare Provider Details

I. General information

NPI: 1407594443
Provider Name (Legal Business Name): ERIN ELIZABETH WARD FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 MEDICAL CENTER DR
WEST POINT MS
39773-0430
US

IV. Provider business mailing address

63 MEDICAL CENTER DR
WEST POINT MS
39773-0430
US

V. Phone/Fax

Practice location:
  • Phone: 662-494-1620
  • Fax:
Mailing address:
  • Phone: 662-494-1620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number905223
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: