Individual
JACQUELINE E PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
650 HOWE AVE STE 600, SACRAMENTO, CA 95825-4797
(916) 953-7571
(916) 771-8515
Mailing address
729 SUNRISE AVE, STE 602, ROSEVILLE, CA 95661-4542
(916) 953-7571
(916) 771-8515
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
95011433
CA
363L00000X
Nurse Practitioner
Primary
95011433
CA
Other
Enumeration date
06/19/2019
Last updated
02/05/2020
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