Individual provider · NPI-1

Erica Lynn Crouse, RPA-C

Physician Assistant · Wilson, NC

NPI number1356596647
StatusActive
Last updated in NPPESAug 21, 2014

Details

NPI
1356596647
Entity type
Individual (NPI-1)
Name
Erica Lynn Crouse
Credential
RPA-C
Sex
Female
Sole proprietor
No
Enumeration date
Dec 1, 2008
Last updated
Aug 21, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant0010-01815NCYes

Other names

  • Erica Lynn Kershaw (Former Name)

Practice location

2508 Ward Blvd
Wilson, NC 27893-1600

Phone 252-206-0693

Mailing address

Po Box 1226
Franklin, TN 37065-1226

Phone 615-503-9000

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