Individual
ERICA CLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 22ND AVE STE B, MERIDIAN, MS 39301-4016
(601) 703-8450
(601) 553-6308
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902002
MS
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1-112196
MS
Other
Enumeration date
06/22/2017
Last updated
03/11/2025
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