Individual
MS. TEEARE KELLIE FIELDS-PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12100 HARMONY CIR, GULFPORT, MS 39503-9534
(330) 937-8313
Mailing address
12100 HARMONY CIR, GULFPORT, MS 39503-9534
(330) 937-8313
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
335925
MS
164W00000X
Licensed Practical Nurse
PN285379
PA
Other
Enumeration date
01/15/2013
Last updated
05/14/2019
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