Individual
MRS. CAROL MORAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST STE H-682, JACKSON, MS 39216-4500
(601) 815-2869
(601) 815-9356
Mailing address
2500 N STATE ST STE H-682, JACKSON, MS 39216-4500
(601) 815-2877
(601) 815-9356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
604879
MS
363LF0000X
Family Nurse Practitioner
Primary
902772
MS
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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