Provider Demographics
NPI:1316502677
Name:KNIGHT, ERICA
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:CROCKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 BENJAMIN CT
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-5144
Mailing Address - Country:US
Mailing Address - Phone:609-694-2704
Mailing Address - Fax:
Practice Address - Street 1:315 W COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28017
Practice Address - Country:US
Practice Address - Phone:704-406-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant