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Individual

TREY PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5228 DIJON DR, BATON ROUGE, LA 70808-4311
(225) 765-8829
(225) 765-6916
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-8829
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209525
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LA

Other

Enumeration date
08/16/2025
Last updated
03/06/2026
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