Individual
MRS. TIKISHA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
739 THIMBLE SHOALS BLVD STE 504, NEWPORT NEWS, VA 23606-3562
(757) 951-3590
Mailing address
739 THIMBLE SHOALS BLVD STE 504, NEWPORT NEWS, VA 23606-3562
(757) 951-3590
(757) 586-5619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001223522
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131429
—
VA
Enumeration date
04/15/2019
Last updated
08/29/2023
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