Individual
ELISABETH COOK PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
500 AVALON WAY APT 1516, BRANDON, MS 39047-7493
(601) 750-5574
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R865695
MS
Other
Enumeration date
11/23/2010
Last updated
01/25/2011
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