NPI 1831619626 · live from the CMS NPI Registry
Erica Clanahan
Nurse Practitioner, Family in Meridian, MS. National Provider Identifier 1831619626, active.
NPI record
| NPI | 1831619626 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1523 22nd Ave Ste B, Meridian, MS 39301 |
| Practice phone | 601-703-8450 |
| Mailing address | 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120 |
| Enumerated | June 22, 2017 |
| Last updated | March 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | 1-112196 (MS) |
| Nurse Practitioner, Family primary | 363LF0000X | 902002 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.