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Individual

MS. MARY JONES PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CPNP

Contact information

Practice address
180 6TH AVE, LUTHERAN FHCN SCHOOL HEALTH PROGRAM, BROOKLYN, NY 11217-3507
(718) 230-5707
(718) 230-7546
Mailing address
222 SEELEY ST, BROOKLYN, NY 11218-1208
(718) 871-0660

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
F380225-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380225-1
NY

Other

Enumeration date
03/01/2007
Last updated
03/29/2009
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