Individual
MADELYN M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHNP
Contact information
Practice address
1415 COLLEGE DR, MERIDIAN, MS 39307-5345
(601) 483-4821
(601) 485-0223
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 701-1906
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R609927
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R609927
MS
Other
Enumeration date
08/11/2006
Last updated
10/13/2017
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