MEDICARE: JASON ALLAN PARKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	LP047167	AZ

General Provider Information

NPI Number	:	1093239816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON ALLAN PARKER

Provider Business Mailing Address
First Line	:	3310 W CHERYL DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9575
Country	:	US
Telephone Number	:	602-926-7210
Fax Number	:	602-291-9375

Provider Business Practice Location Address
First Line	:	3310 WEST CHERYL DRIVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051
Country	:	US
Telephone Number	:	602-926-7210
Fax Number	:	602-291-9375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1841139839 — TEO DRAGIC
Practice Location Address:

3843 W BERYL AVE
PHOENIX, AZ
85051-1137

Practice Phone: 602-692-0825
Practice Fax:

1306512348 — BRIGHT LIFE CARE HOSPICE LLC
Practice Location Address:

10000 N 31ST AVE STE C216
PHOENIX, AZ
85051-9628

Practice Phone: 602-607-5017
Practice Fax: 602-607-5128

1841782265 — DIANA OLIVERA FNP-C
Practice Location Address:

9610 N METRO PKWY W
PHOENIX, AZ
85051-1402

Practice Phone: 480-964-2273
Practice Fax: 602-843-1560

1598612707 — OLIVIA GRACE JOHNSON
Practice Location Address:

10000 N 31ST AVE STE C307
PHOENIX, AZ
85051-9569

Practice Phone: 480-651-4209
Practice Fax:

1619824752 — AMY FREY
Practice Location Address:

10000 N 31ST AVE STE C307
PHOENIX, AZ
85051-9569

Practice Phone: 480-651-4209
Practice Fax:

1689328197 — JENNIFER GODLEY PMHNP
Practice Location Address:

10220 N 31ST AVE STE 220
PHOENIX, AZ
85051-9581

Practice Phone: 480-647-2279
Practice Fax:

1184571200 — UNCONSCIOUS MIND
Practice Location Address:

10220 N 31ST AVE STE 220
PHOENIX, AZ
85051-9581

Practice Phone: 480-647-2279
Practice Fax:

Directions to “ JASON ALLAN PARKER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.