Healthcare Provider Details

I. General information

NPI: 1972445955
Provider Name (Legal Business Name): RENEE CHRISTINA PARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 REYNOLDS ST
MONROE NC
28112-4375
US

IV. Provider business mailing address

1106 REYNOLDS ST
MONROE NC
28112-4375
US

V. Phone/Fax

Practice location:
  • Phone: 704-289-5443
  • Fax: 704-283-7655
Mailing address:
  • Phone: 704-289-5443
  • Fax: 704-283-7655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: