Healthcare Provider Details

I. General information

NPI: 1053118372
Provider Name (Legal Business Name): JOSEPH PARSONS RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 ELM ST N
FARGO ND
58102-2417
US

IV. Provider business mailing address

2560 S 17TH ST APT 103
GRAND FORKS ND
58201-8911
US

V. Phone/Fax

Practice location:
  • Phone: 701-239-3700
  • Fax: 701-237-2645
Mailing address:
  • Phone: 713-494-7435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number201922
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201922
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: