Individual
ALICE JEAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 474-3444
(336) 474-8111
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 474-3444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201800
NC
363LF0000X
Family Nurse Practitioner
201800
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175UM
BCBS NC
NC
05
—
7006096
—
NC
Enumeration date
09/20/2006
Last updated
07/29/2024
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