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NPI Code Detail

MEDICARE: MRS. KAYLA JO PARSONS FNP-C

MEDICARE: MRS. KAYLA JO PARSONS FNP-C
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
1363LF0000XFamily Nurse Practitioner109610WV

General Provider Information

NPI Number : 1548099310
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAYLA JO PARSONS FNP-C
Provider Business Mailing Address
First Line : 799 TERRY LN
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-6677
Country : US
Telephone Number : 304-698-9745
Fax Number :
Provider Business Practice Location Address
First Line : 100 STONEY HILL RD
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-1589
Country : US
Telephone Number : 304-333-8840
Fax Number : 304-285-5407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2024
Last Update Date : 07/30/2024

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