MEDICARE: YOUNGMI PARKER AGNP-C

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
1	363LA2200X	Adult Health Nurse Practitioner	825232	NV

General Provider Information

NPI Number	:	1366390262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOUNGMI PARKER AGNP-C

Provider Business Mailing Address
First Line	:	415 INDIGO SPRINGS ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-3739
Country	:	US
Telephone Number	:	678-577-9950
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 INDIGO SPRINGS ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-3739
Country	:	US
Telephone Number	:	678-577-9950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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