Healthcare Provider Details

I. General information

NPI: 1427048677
Provider Name (Legal Business Name): SHERRI G. PARKS A.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 06/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N UNIVERSITY AVE SUITE 200
LITTLE ROCK AR
72207-6343
US

IV. Provider business mailing address

1100 N UNIVERSITY AVE SUITE 200
LITTLE ROCK AR
72207-6343
US

V. Phone/Fax

Practice location:
  • Phone: 501-686-9300
  • Fax:
Mailing address:
  • Phone: 501-686-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberS01123 CNS
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: