NPI 1184183279

Ericka Travis

Practitioner Driver Yazoo City, MS

Practice location

Address: 106 S Main St, Yazoo City, MS 39194-4008
Phone: (601) 214-2009
Mailing address: 471 Roosevelt St, Canton, MS 39046-3535

Registered specialties (3)

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Dental Assistant

Dental Providers Taxonomy 126800000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1184183279
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2019
Record last updated: 11 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.