MEDICARE: CHRISTIE LYNN PARRISH APRN, MSN, PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1207994	TX

General Provider Information

NPI Number	:	1679457519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIE LYNN PARRISH APRN, MSN, PMHNP-BC

Provider Business Mailing Address
First Line	:	140 OAK GROVE DR APT SUITE
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-3014
Country	:	US
Telephone Number	:	903-985-3322
Fax Number	:	833-563-2626

Provider Business Practice Location Address
First Line	:	130 JACKSON ST N
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-2639
Country	:	US
Telephone Number	:	903-919-0064
Fax Number	:	833-563-2626

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

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	11/06/2025

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