Provider Demographics
NPI:1841952470
Name:GRIFFIN, ERIN (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 CRAFT RD
Mailing Address - Street 2:
Mailing Address - City:BELLS
Mailing Address - State:TX
Mailing Address - Zip Code:75414-2527
Mailing Address - Country:US
Mailing Address - Phone:903-818-1585
Mailing Address - Fax:
Practice Address - Street 1:5012 S US HIGHWAY 75 STE 200
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4610
Practice Address - Country:US
Practice Address - Phone:903-465-5012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056675363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care