# THE PRACTITIONER PROVIDER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083587562
- **Authorized official:** CHLOE J PARKER CRNP (OWNER)
- **Authorized official phone:** (443) 609-4661

## Contact information

- **Practice address:** 424 E 30TH ST, BALTIMORE, MD 21218-3934
- **Practice address phone:** (443) 609-4661
- **Practice address fax:** (206) 752-6808
- **Mailing address:** 424 E 30TH ST, BALTIMORE, MD 21218-3934
- **Mailing address phone:** (443) 609-4661
- **Mailing address fax:** (206) 752-6808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2025
- **Last updated:** 08/13/2026