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Dr. Jacob C. Parker, DO,MD
Other Specialist/Technologist in Hattiesburg, Mississippi
NPI 1326510751

Jacob C. Parker is a Other Specialist/Technologist based in Hattiesburg, MS. Jacob C. Parker practices in Hattiesburg, MS and has the professional credentials of DO,MD. The NPI Number for Jacob C. Parker is 1326510751 and holds a License No. 8420042213 (Mississippi).

The current practice location address for Jacob C. Parker is 300 Fairway Dr, Hattiesburg, MS and can be reached out via phone at 601-307-5339.

Location: 300 Fairway Dr, Hattiesburg, MS, 39401-7715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326510751
Provider Name
Jacob C. Parker
Credential
DO,MD
Provider Entity Type
Individual
Gender
Male
Address
300 Fairway Dr, Hattiesburg, MS, 39401-7715
Phone Number
601-307-5339
Fax Number
Provider Enumeration Date
12/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
800341120 05 MS
314125401870 05 MS
7NQ3-KD9-CK19 05 MS
25187411 01 MS CLINICAL LABORATORY IMPROVEMENT AMENDMENTS
251123217211 01 MS CLIA LICENSES
MS80885 01 MS MEDICAL LICENSES
institution
Provider Business Practice Location Address Details
Address
300 Fairway Dr
City
Hattiesburg
State
Mississippi
Zip
39401-7715
Phone Number
601-307-5339
Fax Number
person
Provider Business Mailing Address Details
Address
300 Fairway Dr
City
Hattiesburg
State
Mississippi
Zip
39401-7715
Phone Number
601-307-5339
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Psychoanalysis
Taxonomy
103TP0814X
License No.
800341120 (Hawaii)
Definition
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
163WC0400X
License No.
MS80885 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
8420042213 (Illinois)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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