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NPI Code Detail

MEDICARE: MRS. VICKY KAY PARKER CNP

MEDICARE: MRS. VICKY KAY PARKER CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNP-05017OH

General Provider Information

NPI Number : 1336187566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VICKY KAY PARKER CNP
Provider Business Mailing Address
First Line : 1049 WESTERN AVE
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1104
Country : US
Telephone Number : 740-773-4366
Fax Number : 740-775-7855
Provider Business Practice Location Address
First Line : 1049 WESTERN AVE
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1104
Country : US
Telephone Number : 740-773-4366
Fax Number : 740-775-7855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 03/13/2017

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