Individual
DR. JESSICA RANKINS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9929 REA RD, WAXHAW, NC 28173-6438
(704) 316-1055
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-1055
(704) 316-1056
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2015-00762
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063702306
—
NC
05
—
NC2542
—
SC
Enumeration date
04/07/2011
Last updated
03/21/2023
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