Individual
MS. JOHNNIE WINIFRED PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1081 E 18TH ST, ROLLA, MO 65401-2448
(573) 458-7800
Mailing address
1081 E 18TH ST, ROLLA, MO 65401-2448
(573) 426-4455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
151094
MO
363LF0000X
Family Nurse Practitioner
Primary
2017024747
MO
Other
Enumeration date
02/10/2017
Last updated
05/06/2021
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