Organization
EPIC SYSTEMS CORPORATION APPLIED INFORMATICS PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. JACOB CORNELIUS PARKER DO (SPECIALIST TECHNOLOGIST)
(650) 253-0000
Entity
Organization
Contact information
Practice address
229 PAOAKALANI AVE # 714, HONOLULU, HI 96815-3764
(650) 253-0000
(650) 253-0001
Mailing address
300 FAIRWAY DR, HATTIESBURG, MS 39401-7715
(650) 253-0000
(650) 253-0001
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
332100000X
Department of Veterans Affairs (VA) Pharmacy
—
—
347C00000X
Private Vehicle
Primary
—
—
347D00000X
Train
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314125401722
—
MS
Enumeration date
02/18/2020
Last updated
11/27/2023
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