Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | I-549 | OH |
NPI | 1013918028 |
---|---|
Provider Name | Judy Roseman Parnes |
First Address | Columbus, OH 43229-6478 |
Second Address | Columbus, OH 43229-6478 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 08/07/2007 |