Clarkson, Erica

Clarkson, Erica is an sole proprietor health care provider with primary practice located at 1005 Mar Walt Drive Family Medicine Dept, Fort Walton Beach FL 32547-6707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Clarkson, Erica can be contacted via phone (850) 863-6600.

Contact Information

Primary practice address
1005 Mar Walt Drive Family Medicine Dept Fort Walton Beach FL 32547-6707
Phone: (850) 863-6600
Fax: (850) 862-0977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11000978 Florida

Profile Details

NPI number 1184952400
LBN Legal business name Clarkson, Erica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2009
Last updated Feb 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184952400 NPPES
Florida MEDICAID 103266000

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