Individual
ERICA LASHA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
4646 POPLAR AVE STE 320, MEMPHIS, TN 38117-4433
(901) 410-9205
(901) 231-6268
Mailing address
4646 POPLAR AVE STE 320, MEMPHIS, TN 38117-4433
(901) 410-9205
(901) 231-6268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
192673
TN
163W00000X
Registered Nurse
95379140
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
37751
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033395
CA
Other
Enumeration date
09/18/2024
Last updated
01/30/2026
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