Individual
ERICA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
660 S MOUNT JULIET RD STE 210, MT JULIET, TN 37122-3973
(615) 443-0901
(615) 443-0310
Mailing address
410 42ND AVE N STE 400, NASHVILLE, TN 37209-3658
(615) 329-7887
(615) 346-6225
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA694
TN
Other
Enumeration date
07/20/2006
Last updated
08/25/2023
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