| Doctor Name: | AMY PARKER |
| NPI Number: | 1275961948 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00470000 |
| Business Practice Address: | 3840 Quakerbridge Rd Building 2, Suite 110 Mercerville, NJ - 086191003 |
| Business Phone Number: | 6098904200 |
| Business Fax Number: | 6095860399 |
| Mailing Address: | 3840 Quakerbridge Rd, Building 2, Suite 110 MERCERVILLE |
| State: | NJ |
| Postal Code: | 086191003 |
| Phone Number: | 6098904200 |
| Fax Number: | 6095860399 |
| NPI Enumeration Date: | 10/16/2013 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00470000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |