Provider Demographics
NPI:1740783117
Name:CURRY, ERICKA NICOLE (LPN)
Entity Type:Individual
Prefix:
First Name:ERICKA
Middle Name:NICOLE
Last Name:CURRY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:ERICKA
Other - Middle Name:NICOLE
Other - Last Name:CJURRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:8635 S 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:JUSTICE
Mailing Address - State:IL
Mailing Address - Zip Code:60458-2005
Mailing Address - Country:US
Mailing Address - Phone:770-527-0100
Mailing Address - Fax:
Practice Address - Street 1:8635 S 87TH AVE
Practice Address - Street 2:
Practice Address - City:JUSTICE
Practice Address - State:IL
Practice Address - Zip Code:60458-2005
Practice Address - Country:US
Practice Address - Phone:770-527-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty