Individual
CHRISTY RENEE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1265 UNION AVE, 3 CREWS, MEMPHIS, TN 38104-3415
(901) 516-7237
(901) 516-7240
Mailing address
P O BOX 1000, DEPT # 457, MEMPHIS, TN 38104-0457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7269
TN
363LF0000X
Family Nurse Practitioner
A810299
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790926798
NPI
—
05
—
3929263
—
TN
Enumeration date
03/20/2009
Last updated
03/15/2022
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