Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 179514-16195 | OH |
NPI | 1003205790 |
---|---|
Provider Name | Mrs. Janet Rose Parrish |
First Address | Hamilton, OH 45011-2811 |
Second Address | Hamilton, OH 45011-2802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2015 |
Last Update Date | 06/05/2016 |