Individual
NICOLE LYNN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
255 SPENCER RD, ST PETERS, MO 63376-2676
(636) 939-2550
(636) 939-2551
Mailing address
255 SPENCER RD, ST PETERS, MO 63376
(636) 939-2550
(636) 939-2551
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020015659
MO
Other
Enumeration date
05/28/2020
Last updated
01/09/2022
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