Individual
MARY A PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4551 W US HIGHWAY 90 STE 101, LAKE CITY, FL 32055-8836
(386) 319-8178
(386) 243-8786
Mailing address
5863 SW 150TH LN, LAKE BUTLER, FL 32054-8101
(352) 494-6475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11015451
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11015451
FL
Other
Enumeration date
09/17/2021
Last updated
11/23/2021
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