Individual
JESSICA CHERYL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3535 W 13 MILE RD STE 248, ROYAL OAK, MI 48073-6770
(248) 551-1515
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704259791
MI
363L00000X
Nurse Practitioner
4704259791
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704259791
MI
Other
Enumeration date
01/11/2010
Last updated
01/30/2026
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