MISS ERICKA M MICOU (NPI# 1568598027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568598027 |
| Entity Type | Individual |
| Full Name | MISS ERICKA M MICOU |
| Credential | NP |
| Practice Address |
1134 Winter St Jackson MS 39204-2841 |
| Practice Telephone | 6019485572 |
| Practice Fax Number | 6019143012 |
| Mailing Telephone | 6019485572 |
| Mailing Fax Number | 6019143012 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
363L00000X | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07450365 | 05 |
| Street Address |
1134 WINTER ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144281262 | Michael Reese Johnson | Family Medicine | 1134 Winter St, Jackson, MS 39204-2841 | 2006-03-29 |
| 1215560545 | Chinnika Latrice Crisler | Social Worker | 1134 Winter St, Jackson, MS 39204-2841 | 2020-02-14 |
| 1912471939 | Zipora Martin-brown | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2019-01-12 |
| 1538697453 | Trevalla Kaye Lindsey | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2017-05-23 |
| 1073069498 | Central Mississippi Health Services, Inc. | Preferred Provider Organization | 1134 Winter St, Jackson, MS 39204-2841 | 2016-08-26 |
| 1982001632 | Catina Shavon Butler | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2014-11-24 |
| 1376948075 | Shaquita Shaw | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2014-10-24 |
| 1427458819 | Latoya P. Johnson | Physician Assistant | 1134 Winter St, Jackson, MS 39204-2841 | 2014-09-04 |
| 1578739934 | Otrie Bertrelle Hickerson | Community Health Worker | 1134 Winter St, Jackson, MS 39204-2841 | 2008-05-06 |
| 1851321384 | Obie M. Mcnair | Internal Medicine | 1134 Winter St, Jackson, MS 39204-2841 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831230457 | Rosemary Thomas Royce | Nurse Practitioner | 9495 Nc Highway 305, Jackson, NC 27845-9679 | 2007-02-08 |
| 1174872139 | Methodist Le Bonheur Community Outreach | Nurse Practitioner | 77 Stonebridge Blvd, Jackson, TN 38305-2165 | 2012-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013426329 | Fig Leaf, LLC | Nurse Practitioner | 171 South St, Caledonia, MS 39740 | 2017-09-29 |
| 1386197697 | Scott Fowler | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-08-03 |
| 1831329887 | Charleston Clinic | Nurse Practitioner | 401 S Church St, Charleston, MS 38921-2257 | 2009-07-23 |
Please comment or provide details below to improve the information on MISS ERICKA M MICOU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.