MRS. Jacqueline Phyllis Parks, RN
NPI #1154060028 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1154060028
- Entity Type
- Individual
- Name
- MRS. Jacqueline Phyllis Parks, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- May 31, 2022
- Last Updated
- May 31, 2022
Practice Location
- Address
- 2121 LAKE AVE
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-5100
- Phone
- (260) 426-5431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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