Individual provider · Type 1 NPI

Jacqueline Phyllis Parks, RN

Registered Nurse · Fort Wayne, IN

NPI number 1154060028 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Call (260) 426-5431 Map

Fax (260) 421-1092

Mailing address

716 County Road 8
Corunna, IN 46730-9756

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X28179527A (IN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1154060028

Jacqueline Phyllis Parks, RN's National Provider Identifier is 1154060028, issued on May 31, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Wayne, IN. The record was last updated on May 31, 2022.