Provider Demographics
NPI:1417382540
Name:WEBB, ERICA WILLIAMS (FNP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:WILLIAMS
Last Name:WEBB
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 4TH AVE S STE 210
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-2737
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1900 PERRY BLVD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-3500
Practice Address - Country:US
Practice Address - Phone:470-890-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1059676363LF0000X
CT9398363LF0000X
GARN251203363LF0000X
NY338293363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
NY331009Medicare Oscar/Certification
NY331058Medicare Oscar/Certification
NYW6L111Medicare Oscar/Certification
NY331954Medicare Oscar/Certification
NY331945Medicare Oscar/Certification
NY331952Medicare Oscar/Certification
NY331943Medicare Oscar/Certification
NY331978Medicare Oscar/Certification
NY331946Medicare Oscar/Certification
NY00695941Medicaid
NY331043Medicare Oscar/Certification
NY331944Medicare Oscar/Certification
NY331947Medicare Oscar/Certification