Individual
ERICA JANA DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 LIVINGSTON RD NE, BROOKHAVEN, MS 39601-2251
(601) 754-4206
Mailing address
226 LIVINGSTON RD NE, BROOKHAVEN, MS 39601-2251
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P322122
MS
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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