NPI | 1851482921 |
---|---|
Former Name | TANCI CHARIESS PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN6733) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN93791) |
363LF0000X Nurse Practitioner, Family (Licence: TN RN93791) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A003207) | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2022-07-13 |