Healthcare Provider Details

I. General information

NPI: 1619329844
Provider Name (Legal Business Name): C. PARSONS, PMHNP, P LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2016
Last Update Date: 07/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W PLATT ST
TAMPA FL
33606-2243
US

IV. Provider business mailing address

419 W PLATT ST
TAMPA FL
33606-2243
US

V. Phone/Fax

Practice location:
  • Phone: 813-444-8268
  • Fax: 813-258-7214
Mailing address:
  • Phone: 813-444-8268
  • Fax: 813-258-7214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberARNP2603542
License Number StateFL

VIII. Authorized Official

Name: CINDY PARSONS
Title or Position: OWNER, NURSE PRACTITIONER
Credential: DNP, ARNP, BC
Phone: 813-444-8268