Individual
LOREE ANN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5133 RIVERS AVE, N CHARLESTON, SC 29406-6338
(843) 789-1786
(843) 958-1263
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23364
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6542
—
SC
Enumeration date
10/28/2019
Last updated
05/11/2021
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