Individual
MRS. VENTASHA S PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 HIGHWAY 80 E, PEARL, MS 39208-4226
(601) 936-3833
(601) 936-3837
Mailing address
4635 HIGHWAY 80 E, PEARL, MS 39208-4226
(601) 936-3833
(601) 936-3837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904217
MS
Other
Enumeration date
10/13/2020
Last updated
12/10/2021
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