Individual
MRS. JENNIFER LYNE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
805 N ORANGE ST, BUTLER, MO 64730-9382
(844) 853-8937
Mailing address
16525 NW COUNTY ROAD 14781, DREXEL, MO 64742-9715
(816) 805-3788
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015043229
MO
363LF0000X
Family Nurse Practitioner
77090
KS
Other
Enumeration date
02/17/2016
Last updated
11/05/2024
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