person
Miss Ericka M Micou, NP
Community Health Nurse Practitioner in Jackson, Mississippi
NPI 1568598027

Ericka M Micou is a Community Health Nurse Practitioner based in Jackson, MS and is specialized in Community Health. Ericka M Micou practices in Jackson, MS and has the professional credentials of NP. The NPI Number for Ericka M Micou is 1568598027 and holds a License No. 363L00000X (Mississippi).

The current practice location address for Ericka M Micou is 1134 Winter St, Jackson, MS and can be reached out via phone at 601-948-5572 and via fax at 601-914-3012. You can also correspond with Ericka M Micou through the mailing address at 1134 WINTER ST, JACKSON, MS - 39204-2841 (mailing address contact number: 601-948-5572).

Location: 1134 Winter St, Jackson, MS, 39204-2841
person
Provider Profile Details
NPI Number
1568598027
Provider Name
Ericka M Micou
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1134 Winter St, Jackson, MS, 39204-2841
Phone Number
601-948-5572
Fax Number
601-914-3012
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07450365 05 MS
institution
Provider Business Practice Location Address Details
Address
1134 Winter St
City
State
Zip
39204-2841
Phone Number
601-948-5572
Fax Number
601-914-3012
person
Provider Business Mailing Address Details
Address
1134 Winter St
City
State
Zip
39204-2841
Phone Number
601-948-5572
Fax Number
601-914-3012
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Community Health
Taxonomy
License No.
363L00000X (Mississippi)
Definition
Definition to come...
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