Individual provider · Type 1 NPI
Traci Jo Parillo, FNP-C
Family Nurse Practitioner · Statesboro, GA
NPI number
1457968307
Active
Practice location
421 Page Place Road
Statesboro, GA 30458-9050
Fax (912) 259-9618
Mailing address
421 Page Place Rd
Statesboro, GA 30458-9050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN214062 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457968307
Traci Jo Parillo, FNP-C's National Provider Identifier is 1457968307, issued on Sep 24, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Statesboro, GA. The record was last updated on Aug 25, 2026.