Provider Demographics
NPI:1073934873
Name:PARRISH, ELEANOR ALLEN (APRN,PMHNP-BC,FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:ALLEN
Last Name:PARRISH
Suffix:
Gender:F
Credentials:APRN,PMHNP-BC,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PORT ALLEN
Mailing Address - State:LA
Mailing Address - Zip Code:70767-2604
Mailing Address - Country:US
Mailing Address - Phone:225-383-8036
Mailing Address - Fax:225-634-0489
Practice Address - Street 1:266 6TH ST
Practice Address - Street 2:
Practice Address - City:PORT ALLEN
Practice Address - State:LA
Practice Address - Zip Code:70767-2604
Practice Address - Country:US
Practice Address - Phone:225-383-8036
Practice Address - Fax:225-634-0489
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA100117-07112363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2408216Medicaid
LA350796YTGBOtherMEDICARE MEMBER PTAN