Individual
MS. EDITH CAROL ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 E DUVAL ST, JACKSONVILLE, FL 32202-3201
(904) 399-2766
Mailing address
213 EDGE OF WOODS RD, ST AUGUSTINE, FL 32092-0784
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9383351
FL
363LG0600X
Gerontology Nurse Practitioner
9383351
FL
Other
Enumeration date
09/20/2006
Last updated
10/14/2014
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