Individual
DR. ELLEN E PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2538
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2538
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
23737
MS
2085N0700X
Neuroradiology Physician
A93445
CA
2085R0202X
Diagnostic Radiology Physician
23737
MS
2085R0202X
Diagnostic Radiology Physician
A93445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07988755
—
MS
05
—
191137
—
AL
05
—
2406388
—
LA
Enumeration date
01/08/2007
Last updated
12/17/2021
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