Organization
PARKS PRACTITIONER AND CONSULTING SERVICES LLC
Active
Other names
ppcs
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH PARKS NP (NURSE PRACTITIONER)
(334) 333-6158
Entity
Organization
Contact information
Practice address
9640 SYLVANIA METAMORA RD, SYLVANIA, OH 43560-9485
(334) 333-6158
Mailing address
5 CANEBREAK PL, FAIRHOPE, AL 36532-6370
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
13235
TN
Other
Enumeration date
04/14/2015
Last updated
09/22/2023
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