Individual
ERIKA LYTICE NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1120 E MAIN ST STE 24, PHILADELPHIA, MS 39350-2300
(601) 781-8677
(601) 676-0550
Mailing address
469 STEEL MILL RD, MENDENHALL, MS 39114-9021
(601) 813-9360
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903675
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06725307
—
MS
Enumeration date
07/22/2019
Last updated
02/08/2022
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