Individual
ERICA N WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-5893
(901) 448-5540
Mailing address
2501 E MONROE AVE, WEST MEMPHIS, AR 72301-6024
(901) 279-3353
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
226204
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
34719
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q087627
—
TN
Enumeration date
06/29/2023
Last updated
02/10/2026
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