MEDICARE: MRS. DAWNE LOUISE PARKER FNP

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	363L00000X	Nurse Practitioner	335914	NY
2	363LF0000X	Family Nurse Practitioner	335914	NY
3	363LF0000X	Family Nurse Practitioner	0024183229	VA
4	363LF0000X	Family Nurse Practitioner	5015964	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J400535342	OTHER	NY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558598367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DAWNE LOUISE PARKER FNP

Provider Business Mailing Address
First Line	:	14311 METROPOLIS AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14311 METROPOLIS AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4442
Country	:	US
Telephone Number	:	518-491-2208
Fax Number	:

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

Provider Enumeration Date	:	06/18/2009
Last Update Date	:	08/19/2025

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