Individual
HEATHER PARKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1609 SHERMAN AVE, EVANSTON, IL 60201-3753
(312) 380-2790
(312) 380-2791
Mailing address
1609 SHERMAN AVE, EVANSTON, IL 60201-3753
(312) 380-2790
(312) 380-2791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28184494A
IN
363LF0000X
Family Nurse Practitioner
71006818A
IN
363LF0000X
Family Nurse Practitioner
71006818B
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.023104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003339
—
IN
05
—
363L00000X
—
IN
Enumeration date
09/23/2016
Last updated
01/13/2026
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