Healthcare Provider Details

I. General information

NPI: 1184961054
Provider Name (Legal Business Name): NORMAN M PARNELL CFNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2013
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 WINTER ST STE D
LUCEDALE MS
39452-6078
US

IV. Provider business mailing address

223 WINTER ST STE D
LUCEDALE MS
39452-6078
US

V. Phone/Fax

Practice location:
  • Phone: 601-791-5012
  • Fax: 601-791-5013
Mailing address:
  • Phone: 601-791-5012
  • Fax: 601-791-5013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR889889
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: