Individual
JACQUELINE ANN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4538 ROSALIE ST, DEARBORN, MI 48126-2827
(313) 802-9399
Mailing address
4538 ROSALIE ST, DEARBORN, MI 48126-2827
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704169276
MI
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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