Individual provider · Type 1 NPI
Ericka Travis
Driver · Yazoo City, MS
NPI number
1184183279
Active
Practice location
106 S Main St
Yazoo City, MS 39194-4008
Mailing address
471 Roosevelt St
Canton, MS 39046-3535
Other practice locations
- 471 Roosevelt St, Canton, MS 39046-3535 · (601) 214-2009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Assistant | 126800000X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1184183279
Ericka Travis's National Provider Identifier is 1184183279, issued on Mar 18, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Yazoo City, MS. The record was last updated on Jun 11, 2019.