Individual
JO PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5658 WOOL LAKE LANE, BOULDER JUNCTION, WI 54512
(423) 290-1024
Mailing address
PO BOX 501, BOULDER JUNCTION, WI 54512-0501
(423) 290-1024
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35039400
—
WI
Enumeration date
09/24/2007
Last updated
04/11/2008
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