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Individual

ERICKA MARCENE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1031 NORTHRIDGE RD STE A, BALDWYN, MS 38824-1173
(662) 365-9305
(662) 365-9304
Mailing address
7 COUNTY ROAD 468, RIENZI, MS 38865-9142
(251) 518-1069

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
903718
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
903718
MISSISSIPPI BOARD OF NURSING (NP LICENSE NUMBER)
MS
Enumeration date
08/07/2020
Last updated
08/07/2020
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