Individual
JENNY LYNN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
800 M 139, BENTON HARBOR, MI 49022-3881
(855) 869-6900
(269) 934-9146
Mailing address
59131 CHANCELLOR AVE, HARTFORD, MI 49057-9734
(269) 277-1670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704218882
MI
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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