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Individual

TERESA LYNN PARKER

Active
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Individual

TERESA LYNN PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1093012
KY
363LF0000X
Family Nurse Practitioner
Primary
3005262
KY
363LF0000X
Family Nurse Practitioner
5262P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000530365
ANTHEM
KY
01
11771595
CAQH
KY
01
1669671863
NPI
01
50015847
PASSPORT HEALTH PLAN
KY
05
7100016200
KY
01
C60309
CUMBERLAND HEALTHCARE INC
KY
Enumeration date
07/17/2007
Last updated
09/28/2023
About Stedi
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