Individual
MRS. JACQUELINE PICKETT PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3511 WILLOW TREE TRCE, DECATUR, GA 30034-3842
(404) 665-6427
(404) 241-9269
Mailing address
3511 WILLOW TREE TRCE, DECATUR, GA 30034-3842
(404) 665-6427
(404) 241-9269
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
RN107092
GA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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