MISS ERICKA M MICOU NP NPI 1568598027

NPI Information

NPI: 1568598027
Provider Name: MISS ERICKA M MICOU, NP
Classification: Nurse Practitioner - 363LC1500X
Entity Type: Individual

Specialization: Community Health

Address:
1134 WINTER ST
JACKSON, MS
ZIP 39204
Phone: (601) 948-5572
Get Directions

MISS Ericka M Micou, NP is a community health nurse practitioner in Jackson, MS. MISS Ericka M Micou, NP NPI is 1568598027. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1134 WINTER ST
JACKSON, MS
ZIP 39204-841
Phone: (601) 948-5572
Fax: (601) 914-3012

The enumeration date for this NPI number is 2/26/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC1500X	Nurse Practitioner	Community Health	363L00000X	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07450365	MEDICAID	MISSISSIPPI
2	Q24298	MEDICARE UPIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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