Healthcare Provider Details

I. General information

NPI: 1912811985
Provider Name (Legal Business Name): ERIN ELIZABETH MICHEL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WILLOW PT STE 1B
HATTIESBURG MS
39402-1150
US

IV. Provider business mailing address

102 SHADOW RIDGE RD
HATTIESBURG MS
39402-8652
US

V. Phone/Fax

Practice location:
  • Phone: 601-987-6580
  • Fax:
Mailing address:
  • Phone: 985-226-0490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number908587
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: