Individual
ERICA CLARKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 MAR WALT DRIVE, FAMILY MEDICINE DEPT, FORT WALTON BEACH, FL 32547-6707
(850) 863-6600
(850) 862-0977
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-6600
(850) 862-0977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11000978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103266000
—
FL
Enumeration date
11/24/2009
Last updated
02/12/2020
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