Healthcare Provider Details

I. General information

NPI: 1942952064
Provider Name (Legal Business Name): LINDSEY GRACE PARKS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNC-CHAPEL HILL SCHOOL OF NURSING 120 N. MEDICAL DR. UNC-CH SON: CARRINGTON HALL
CHAPEL HILL NC
27599
US

IV. Provider business mailing address

UNC-CHAPEL HILL SCHOOL OF NURSING 120 N. MEDICAL DR. UNC-CH SON: CARRINGTON HALL
CHAPEL HILL NC
27599
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-4260
  • Fax:
Mailing address:
  • Phone: 919-966-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5019366
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: