Individual
KIESHA LASHAWN PARKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
212 MANGO DR, PALATKA, FL 32177-6421
(386) 546-7194
Mailing address
PO BOX 981, PALATKA, FL 32178-0981
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9492149
FL
Other
Enumeration date
10/11/2019
Last updated
02/25/2020
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