| Doctor Name: | MS. MARY ELLEN BURGESS-PARKER |
| NPI Number: | 1033127477 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1073481 |
| Business Practice Address: | 1401 Rainbow Dr Gadsden, AL - 359015319 |
| Business Phone Number: | 2565439497 |
| Business Fax Number: | 2565431343 |
| Mailing Address: | 200 W Meighan Blvd, Suite E GADSDEN |
| State: | AL |
| Postal Code: | 359013210 |
| Phone Number: | 2564674731 |
| Fax Number: | 2564674734 |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1073481 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |