NPI
Erica Rose Liss Conklin
NPI 1336894252
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2022-02-18
- Last updated
- 2022-02-18
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 104 Crepe Myrtle Ln
- City
- Jamestown NC
- Postal code
- 27282-8866
- Phone
- (630) 659-8147
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Jamestown, NC. 203 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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