Healthcare Provider Details

I. General information

NPI: 1104651199
Provider Name (Legal Business Name): PATRICIA ROSANN PARSONS APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2024
Last Update Date: 02/13/2025
Certification Date: 09/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 SPRING VALLEY DRIVE
HUNTINGTON WV
25704
US

IV. Provider business mailing address

1540 SPRING VALLEY DRIVE
HUNTINGTON WV
25704
US

V. Phone/Fax

Practice location:
  • Phone: 304-429-6741
  • Fax: 304-429-0262
Mailing address:
  • Phone: 304-429-6741
  • Fax: 304-429-0262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number120301
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: