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NPI Code Detail

MEDICARE: REAGAN OLIVIA PARKS FNP

MEDICARE:   REAGAN OLIVIA PARKS  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
1363LF0000XFamily Nurse Practitioner334304NC

General Provider Information

NPI Number : 1841174448
Entity Type Code : Individual
Provider Name (Legal Business Name) : REAGAN OLIVIA PARKS FNP
Provider Business Mailing Address
First Line : 130 N ARLINGTON AVE
Second Line :
City : JONESVILLE
State : NC
Zip : 28642-2661
Country : US
Telephone Number : 336-244-0039
Fax Number :
Provider Business Practice Location Address
First Line : 130 N ARLINGTON AVE
Second Line :
City : JONESVILLE
State : NC
Zip : 28642-2661
Country : US
Telephone Number : 336-244-0039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2025
Last Update Date : 08/05/2025

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Directions to “ REAGAN OLIVIA PARKS FNP” Practice Location

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