Provider Demographics
NPI:1770256174
Name:ERSKINE, VONETTA NICOLE (APRN)
Entity Type:Individual
Prefix:MISS
First Name:VONETTA
Middle Name:NICOLE
Last Name:ERSKINE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 N FALKENBURG RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-0945
Mailing Address - Country:US
Mailing Address - Phone:813-388-8189
Mailing Address - Fax:813-537-8718
Practice Address - Street 1:1345 N FALKENBURG RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-0945
Practice Address - Country:US
Practice Address - Phone:813-388-8189
Practice Address - Fax:813-537-8718
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2023-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014476363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health