Individual
JEANNA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
730 JEFFERSON AVE, LAKELAND, FL 33801-5637
(863) 581-5173
Mailing address
730 JEFFERSON AVE, LAKELAND, FL 33801-5637
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9180251
FL
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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