Individual
DR. JANE E PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 499-2690
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(812) 465-6202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01044765A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109393
ANTHEM
IN
01
—
000000645587
ANTHEM
IN
01
—
01044765A
CSR
IN
05
—
200091140
—
IN
01
—
260028031
RAILROAD MEDICARE
IN
01
—
834950A2
MEDICARE
IN
Enumeration date
08/31/2006
Last updated
03/07/2023
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