Individual
SHANEIKA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2468
Mailing address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2468
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320539
MS
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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