Parks, Vicki Lynn
Parks, Vicki Lynn is an individual health care provider with primary practice located at 10440 Us 1 N Unit 101 , St Augustine FL 32095-8459. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Parks, Vicki Lynn can be contacted via phone (904) 715-4600.Contact Information
Primary practice address
10440 Us 1 N Unit 101
St Augustine FL 32095-8459
Phone: (904) 715-4600
Fax: (904) 342-7922
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP 1524462 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP 1524462 | Florida |
Profile Details
NPI number | 1497743223 |
---|---|
LBN Legal business name | Parks, Vicki Lynn |
Credentials | DNP, ARNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2005 |
Last updated | Sep 11th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497743223 | NPPES |
Florida | MEDICAID | 306333000 |
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