Individual
MITCHELL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6039 BERRY ST, FORT SILL, OK 73503-4445
(580) 442-2268
Mailing address
6039 BERRY ST, FORT SILL, OK 73503-4445
(580) 442-2268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0898079
AANP CERT #
CA
01
—
RN652600
RN LIC #
CA
Enumeration date
12/01/2005
Last updated
03/26/2025
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