Individual
KIZZY MYISHA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
510 PLAZA DR STE 170, FOLSOM, CA 95630-4790
(916) 351-9400
(916) 351-9449
Mailing address
510 PLAZA DR STE 170, FOLSOM, CA 95630-4790
(916) 351-9400
(916) 351-9449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95006709
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006709
CA
Other
Enumeration date
08/24/2016
Last updated
03/19/2026
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