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NPI Code Detail

MEDICARE: CAROLE LYNETTE PARRISH NP-C

MEDICARE: CAROLE LYNETTE PARRISH NP-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
1363LA2200XAdult Health Nurse Practitioner11006033FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5AA10165019OTHERSCMEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1196544OTHERSCMEDCOST
20597LOTHERNCBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831168079
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE LYNETTE PARRISH NP-C
Provider Business Mailing Address
First Line : PO BOX 743070
Second Line :
City : ATLANTA
State : GA
Zip : 30374-3070
Country : US
Telephone Number : 864-560-4304
Fax Number : 864-560-4413
Provider Business Practice Location Address
First Line : 1075 TOWN CENTER DR
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8360
Country : US
Telephone Number : 386-917-0333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 12/09/2025

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Directions to “ CAROLE LYNETTE PARRISH NP-C” Practice Location

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