Doctor Name: | NANCI W PARISH |
NPI Number: | 1245348689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | R619442 |
Business Practice Address: | 1702 A Hwy 11 North Picayune, MS - 394660419 |
Business Phone Number: | 6017993130 |
Business Fax Number: | 6017993132 |
Mailing Address: | 1702 A Hwy 11 North, PICAYUNE |
State: | MS |
Postal Code: | 394660419 |
Phone Number: | 6017993130 |
Fax Number: | 6017993132 |
NPI Enumeration Date: | 08/27/2006 |
NPI Last Update Date: | 10/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R619442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |