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Individual

MISTY M PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.C.N.P.-B.C.

Contact information

Practice address
1385 FLOWERING DOGWOOD LN, SUITE C, DYERSBURG, TN 38024-6409
(731) 287-0804
(731) 285-3600
Mailing address
1385 FLOWERING DOGWOOD LN, SUITE C, DYERSBURG, TN 38024-6409
(731) 287-0804
(731) 285-3600

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN11037
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1515855
TN
Enumeration date
07/18/2005
Last updated
05/12/2014
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