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
Fax: (904) 342-7922
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497743223 NPPES
Florida MEDICAID 306333000

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