Long, Erica Denise
Long, Erica Denise is an sole proprietor health care provider with primary practice located at 111 County Road 258 , Athens TN 37303-6567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Long, Erica Denise can be contacted via phone (423) 506-5310.Contact Information
Primary practice address
111 County Road 258
Athens TN 37303-6567
Phone: (423) 506-5310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 25975 | Tennessee |
Profile Details
| NPI number | 1467008128 |
|---|---|
| LBN Legal business name | Long, Erica Denise |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2019 |
| Last updated | Feb 9th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467008128 | NPPES |
| Tennessee | MEDICAID | 77186204 |
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