Individual
JENNIFER M ERICSON
Active
Individual
JENNIFER M ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
12118129-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
PA64509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12118129-1206
PHYSICIAN ASSISTANT STATE LICENSE NUMBER
UT
Enumeration date
02/23/2021
Last updated
03/07/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up