Healthcare Provider Details

I. General information

NPI: 1225177322
Provider Name (Legal Business Name): JENNIFER L. PARRISH M.D., INC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 MISSION RANCH BLVD SUITE 10
CHICO CA
95926-5137
US

IV. Provider business mailing address

114 MISSION RANCH BLVD SUITE 10
CHICO CA
95926-5137
US

V. Phone/Fax

Practice location:
  • Phone: 530-894-0500
  • Fax: 530-345-2532
Mailing address:
  • Phone: 530-894-0500
  • Fax: 530-345-2532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA45879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: