Individual
MRS. ERICA R. GRANT ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
240 NEW BYHALIA RD, COLLIERVILLE, TN 38017-3716
(901) 492-4920
(901) 492-4921
Mailing address
240 NEW BYHALIA RD, COLLIERVILLE, TN 38017-3716
(901) 492-4920
(901) 492-4921
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
169428
TN
Other
Enumeration date
09/17/2012
Last updated
12/04/2012
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