MEDICARE: C. PARSONS, PMHNP, P LLC

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	ARNP2603542	FL

General Provider Information

NPI Number	:	1619329844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C. PARSONS, PMHNP, P LLC

Provider Business Mailing Address
First Line	:	419 W PLATT ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2243
Country	:	US
Telephone Number	:	813-444-8268
Fax Number	:	813-258-7214

Provider Business Practice Location Address
First Line	:	419 W PLATT ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2243
Country	:	US
Telephone Number	:	813-444-8268
Fax Number	:	813-258-7214

Authorized Official
Title or Position	:	OWNER, NURSE PRACTITIONER
Name	:	CINDY PARSONS
Credential	:	DNP, ARNP, BC
Telephone Number	:	813-444-8268

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	07/12/2016

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