Individual
JENNIFER COBB PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
2606 LAURELCHERRY ST, RALEIGH, NC 27612-5442
(919) 394-1160
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5017202
NC
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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