MEDICARE: JANICE LANIER PARKER CRNP

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	171W00000X	Contractor	1-046166	AL
2	363L00000X	Nurse Practitioner	1-046166	AL

Other Identifiers

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

General Provider Information

NPI Number	:	1801966486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE LANIER PARKER CRNP

Provider Business Mailing Address
First Line	:	PO BOX 97
Second Line	:
City	:	GADSDEN
State	:	AL
Zip	:	35902-0097
Country	:	US
Telephone Number	:	256-492-0131
Fax Number	:

Provider Business Practice Location Address
First Line	:	1316 NOBLE ST
Second Line	:
City	:	ANNISTON
State	:	AL
Zip	:	36201-4643
Country	:	US
Telephone Number	:	256-236-0221
Fax Number	:

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	04/04/2011

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