Susan Lori Parker in Jacksonville - Physician Assistant
Susan Lori Parker - NPI 1902824139
Susan Lori Parker is a Physician Assistant in Jacksonville, Florida. Susan Lori Parker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan Lori Parker is 1902824139. The last update date is 2022-05-24.
Susan Lori Parker's current location address is 915 W Monroe St Ste 200, Jacksonville, Florida. You can contact this provider via phone number 9043842240 and fax number 9044862314. The mailing address for Susan Lori Parker is 915 W Monroe St Ste 200, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Lori Parker |
|---|---|
| Address | 915 W Monroe St Ste 200, Jacksonville, Florida |
| Phone Number | 9043842240 |
| Fax Number | 9044862314 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1902824139 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2022-05-24 |
Provider Mailing Address Detail
| Address | 915 W Monroe St Ste 200 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322041177 |
| Phone Number | 9043842240 |
| Fax Number | 9044862314 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9112835 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 108833800 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan Lori Parker by the Centers for Medicare & Medicaid Services?
The Susan Lori Parker has been issued the NPI (National Provider Identifier) 1902824139 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan Lori Parker?
The Susan Lori Parker is situated at 915 W Monroe St Ste 200, in the city of Jacksonville, state of FL, with the zip code 322041177.
What is Susan Lori Parker's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Lori Parker's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did Susan Lori Parker receive its 1902824139 assignment from the Centers for Medicare & Medicaid Services?
The Susan Lori Parker was assigned its 1902824139 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Susan Lori Parker's details last updated?
The information pertaining to the Susan Lori Parker, including its address, specialty, and other details, was most recently updated on 2022-05-24.