Healthcare Provider Details

I. General information

NPI: 1285030924
Provider Name (Legal Business Name): MARGARET PARK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET ANNE VOELKER PA-C

II. Dates (important events)

Enumeration Date: 11/07/2014
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 COVEY DR STE 200
FRANKLIN TN
37067-6008
US

IV. Provider business mailing address

1195 OLD HICKORY BLVD STE 200
BRENTWOOD TN
37027-4239
US

V. Phone/Fax

Practice location:
  • Phone: 615-835-3220
  • Fax: 615-835-3235
Mailing address:
  • Phone: 615-835-3220
  • Fax: 615-835-3235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number4842
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number4842
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number4842
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: