Individual
CARRIE ELLEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209031603
IL
363LA2200X
Adult Health Nurse Practitioner
209031603
IL
Other
Enumeration date
02/10/2025
Last updated
03/20/2025
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