Individual
PENNY ELAINE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
44 JONES ST, NEWARK, NJ 07103
(973) 878-9020
Mailing address
601 TAYLOR ST, NASHVILLE, TN 37208-2635
(229) 379-7398
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR09053300
NJ
163W00000X
Registered Nurse
703810-1
NY
163W00000X
Registered Nurse
RN317415L
PA
363LF0000X
Family Nurse Practitioner
341152
NY
363LF0000X
Family Nurse Practitioner
Primary
SP017566
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
07/08/2016
Last updated
05/05/2021
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