Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | PAR1-0436-8243 | TN |
NPI | 1093081317 |
---|---|
Provider Name | Mrs. Shaunna Parker |
First Address | Nashville, TN 37203-2504 |
Second Address | Nashville, TN 37203-2504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2012 |
Last Update Date | 30/03/2012 |