Individual
JACQUELINE M PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3104 CRESTWELL DR, INDIANAPOLIS, IN 46268-8655
(317) 418-6863
Mailing address
3104 CRESTWELL DR, INDIANAPOLIS, IN 46268-8655
(317) 418-6863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022058495
IN
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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