Individual
ALEXIS JEAN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(855) 984-5121
Mailing address
208 DARROW RD, EDINBORO, PA 16412-2602
(724) 815-9870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F07231300
PA
363LF0000X
Family Nurse Practitioner
F07231300
PA
Other
Enumeration date
12/19/2023
Last updated
01/25/2024
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