Individual
AMBER NICOLE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
13304 LEESVILLE CHURCH RD, RALEIGH, NC 27617-5206
(919) 845-5276
Mailing address
115 CAROLINA ASH LN, MOORESVILLE, NC 28117-9549
(843) 450-7048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013362
NC
Other
Enumeration date
07/29/2020
Last updated
01/23/2022
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