Individual
JACQUANA SHANIECE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3121 FITZGERALD RD, MONTGOMERY, AL 36106-2628
(334) 531-6506
Mailing address
3121 FITZGERALD RD, MONTGOMERY, AL 36106-2628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-166811
AL
363LF0000X
Family Nurse Practitioner
Primary
1-166811
AL
363LF0000X
Family Nurse Practitioner
Primary
F03260592
AL
Other
Enumeration date
02/03/2026
Last updated
04/15/2026
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