Individual
MISS ERIKA ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
263 SHELLBARK DR, MCDONOUGH, GA 30252-1625
(561) 201-4678
Mailing address
263 SHELLBARK DR, MCDONOUGH, GA 30252-1625
(561) 201-4678
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9412623
FL
163WH0200X
Home Health Registered Nurse
Primary
PHCP011679
GA
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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