Provider Demographics
NPI:1417598244
Name:CHAPMAN, ERICA DANIELLE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:DANIELLE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N EDGEMON AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-2527
Mailing Address - Country:US
Mailing Address - Phone:727-542-7520
Mailing Address - Fax:
Practice Address - Street 1:320 N EDGEMON AVE
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2527
Practice Address - Country:US
Practice Address - Phone:727-542-7520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11004245OtherFLORIDA DEPARTMENT OF HEALTH