Individual provider · Type 1 NPI

Ta-Tanisha Parks, NP

Gerontology Nurse Practitioner · Albany, GA

NPI number 1528679735 Active

Practice location

417 W 3rd Ave
Albany, GA 31701-1943

Mailing address

500 W 3rd Ave Ste 101
Albany, GA 31701-1900

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2019015776 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1528679735

Ta-Tanisha Parks, NP's National Provider Identifier is 1528679735, issued on Aug 11, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Albany, GA. The record was last updated on Aug 11, 2020.