Individual
KELLY M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
89 SPARTA AVE STE 200, SPARTA, NJ 07871-1790
(973) 726-7220
Mailing address
6 PLEASANT VILLAGE DR, SUCCASUNNA, NJ 07876-1144
(862) 812-6412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.009662
CT
363LF0000X
Family Nurse Practitioner
Primary
26NJ15495400
NJ
Other
Enumeration date
05/03/2021
Last updated
03/13/2026
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