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Contact Information

JASON A PARKER
3310 WEST CHERYL DRIVE
PHOENIX, AZ85051
 Phone: 602-926-7210
 Fax: 602-291-9375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for JASON A PARKER · (Male)

NPI # 1093239816
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # LP047167
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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