Erica Lasha Long, MSN, APRN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Memphis, TN. Individual provider (NPI-1).
Details
- NPI
- 1548097934
- Entity type
- Individual (NPI-1)
- Name
- Erica Lasha Long
- Credential
- MSN, APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Jan 30, 2026
- Last updated
- Jan 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95033395 | CA | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 37751 | TN | |
| 163W00000X | Registered Nurse | 192673 | TN | |
| 163W00000X | Registered Nurse | 95379140 | CA |
Practice location
4646 Poplar Ave Ste 320Memphis, TN 38117-4433
Phone 901-410-9205 · Fax 901-231-6268
Mailing address
4646 Poplar Ave Ste 320Memphis, TN 38117-4433
Phone 901-410-9205 · Fax 901-231-6268
Other practice locations
San Francisco, CA 94103-3103
Phone 901-410-9205 · Fax 901-231-6268
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 147 Psychiatric/Mental Health Nurse Practitioner providers in Memphis · All 16,727 providers in Memphis
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