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General NPI Number Information
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NPI Number | 1902160559
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Entity Type | Individual
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Provider Name | W. JEANNE PARKER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 55 W TIETAN ST
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City | WALLA WALLA
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State | WA
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Zip | 99362-4445
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Country | US
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Telephone | 509-525-3720
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Fax | 509-522-1592
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Provider Business Mailing Address
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Address Line | 705 N HARVEY LN EAGLE
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City | EAGLE
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State | ID
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Zip | 83616-5339
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Country | US
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Telephone | 208-866-1265
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP 1163
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60297383
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License Number State | WA
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