Doctor Name: | MRS. JENNIFER SUE PARRETTE |
NPI Number: | 1265788434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4704200141 |
Business Practice Address: | 769 Pipestone St Benton Harbor, MI - 490224815 |
Business Phone Number: | 2699267121 |
Business Fax Number: | |
Mailing Address: | 1253 S 500 W, LA PORTE |
State: | IN |
Postal Code: | 463509760 |
Phone Number: | 2193621817 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2012 |
NPI Last Update Date: | 07/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 4704200141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |