Provider Demographics
NPI:1063025203
Name:PARSONS, LINDA DARLENE
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:DARLENE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 WILSON STREET
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:WV
Mailing Address - Zip Code:25106
Mailing Address - Country:US
Mailing Address - Phone:304-812-1174
Mailing Address - Fax:
Practice Address - Street 1:309 WILSON STREET
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:WV
Practice Address - Zip Code:25106
Practice Address - Country:US
Practice Address - Phone:304-812-1174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant