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Ta-tanisha Parks, NP
Gerontology Nurse Practitioner in Albany, Georgia
NPI 1528679735

Ta-tanisha Parks is a Gerontology Nurse Practitioner based in Albany, GA and is specialized in Gerontology. Ta-tanisha Parks practices in Albany, GA and has the professional credentials of NP. The NPI Number for Ta-tanisha Parks is 1528679735 and holds a License No. 2019015776 (Georgia).

The current practice location address for Ta-tanisha Parks is 417 W 3Rd Ave, Albany, GA and can be reached out via phone at 229-312-1000. You can also correspond with Ta-tanisha Parks through the mailing address at 500 W 3RD AVE STE 101, ALBANY, GA - 31701-1900 (mailing address contact number: 229-312-5800).

Location: 417 W 3Rd Ave, Albany, GA, 31701-1900
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Provider Profile Details
NPI Number
1528679735
Provider Name
Ta-tanisha Parks
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
417 W 3Rd Ave, Albany, GA, 31701-1900
Phone Number
229-312-1000
Fax Number
Provider Enumeration Date
08/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN168517 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
417 W 3Rd Ave
City
State
Zip
31701-1943
Phone Number
229-312-1000
Fax Number
person
Provider Business Mailing Address Details
Address
417 W 3Rd Ave
City
State
Zip
31701-1943
Phone Number
229-312-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2019015776 (Georgia)
Definition
Definition to come...
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