Individual
SHARISA LASHON PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 E 71ST ST STE C, TULSA, OK 74136-5572
(918) 794-6570
Mailing address
2508 E 71ST ST STE C, TULSA, OK 74136-5572
(918) 794-6570
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208953059
—
OK
Enumeration date
02/07/2022
Last updated
04/06/2026
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