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Individual

MRS. ERICA CORRINE GRISSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
50 N DUNLAP ST, 2ND FLOOR CHILDREN'S RESEARCH FOUNDATION TOWER, MEMPHIS, TN 38103-2800
(901) 287-6060
(901) 287-5102
Mailing address
50 N DUNLAP ST, 2ND FLOOR CHILDREN'S RESEARCH FOUNDATION TOWER, MEMPHIS, TN 38103-2800
(901) 287-6060
(901) 287-5102

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168625
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
19197
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q009572
TN
Enumeration date
09/09/2014
Last updated
02/10/2026
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