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General NPI Number Information
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NPI Number | 1861521783
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Entity Type | Individual
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Provider Name | KERRI B PARNELL FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2095 N 4TH ST
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City | WYTHEVILLE
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State | VA
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Zip | 24382-4411
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Country | US
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Telephone | 276-228-7069
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Fax | 276-228-5375
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Provider Business Mailing Address
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Address Line | 770 W RIDGE RD
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City | WYTHEVILLE
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State | VA
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Zip | 24382-1187
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Country | US
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Telephone | 276-223-3200
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Fax | 276-223-0617
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024180398
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License Number State | VA
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