Healthcare Provider Details

I. General information

NPI: 1578337796
Provider Name (Legal Business Name): NATALIE CHRISTINE PARRISH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 11/08/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 NW COMMERCE DR
LAKE CITY FL
32055-4709
US

IV. Provider business mailing address

25247 SW 17TH AVE
NEWBERRY FL
32669-4902
US

V. Phone/Fax

Practice location:
  • Phone: 386-719-9000
  • Fax:
Mailing address:
  • Phone: 352-278-2925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberARPN11028687
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: