| Doctor Name: | MRS. LILLIAN GRACE PARKER |
| NPI Number: | 1477607489 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | RN052630 |
| Business Practice Address: | 3629 Windmill Rd Ellenwood, GA - 302942106 |
| Business Phone Number: | 7709871881 |
| Business Fax Number: | |
| Mailing Address: | 3629 Windmill Rd, ELLENWOOD |
| State: | GA |
| Postal Code: | 302942106 |
| Phone Number: | 7709871881 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 06/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | RN052630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |