Individual
MS. ERICA LASHAY RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60818
NM
363LF0000X
Family Nurse Practitioner
905324
MS
363LF0000X
Family Nurse Practitioner
AP140766
TX
Other
Enumeration date
04/29/2019
Last updated
04/11/2024
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