Healthcare Provider Details

I. General information

NPI: 1497670343
Provider Name (Legal Business Name): JULIE PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 MANZANITA AVE
CHICO CA
95926-1619
US

IV. Provider business mailing address

17 BAJA CT
CHICO CA
95928-7430
US

V. Phone/Fax

Practice location:
  • Phone: 530-588-2127
  • Fax:
Mailing address:
  • Phone: 530-588-2127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number540968
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: