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General NPI Number Information
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NPI Number | 1720953391
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Entity Type | Individual
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Provider Name | MADELYN LEIGH PARKER DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 370 SE VERANDA FALLS WAY, STE 102
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34984
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Country | US
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Telephone | 772-763-1720
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Fax | 772-214-3027
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Provider Business Mailing Address
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Address Line | PO BOX 20800
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City | BELFAST
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State | ME
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Zip | 04915-4105
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Country | US
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Telephone | 888-402-7256
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11042794
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License Number State | FL
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