Individual
THOMAS BRADLEY PARKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(812) 254-2760
Mailing address
9819 HONEYSUCKLE LN, LAWRENCEVILLE, IL 62439-3436
(618) 553-5656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28202678A
IN
363L00000X
Nurse Practitioner
Primary
71008370A
IN
363LF0000X
Family Nurse Practitioner
71008370A
IN
Other
Enumeration date
08/01/2018
Last updated
11/16/2022
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