Individual
MS. ERICA LEONNA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
101 LEXINGTON DR, MADISON, MS 39110-6985
(601) 707-3771
Mailing address
101 LEXINGTON DR STE A, MADISON, MS 39110-6986
(601) 707-3771
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
903975
MS
Other
Enumeration date
10/26/2020
Last updated
02/11/2021
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