Provider Demographics
NPI:1083726350
Name:PARSLEY, CHANDRA R (DNP, APRN)
Entity Type:Individual
Prefix:DR
First Name:CHANDRA
Middle Name:R
Last Name:PARSLEY
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 S BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-3387
Mailing Address - Country:US
Mailing Address - Phone:863-491-7580
Mailing Address - Fax:863-491-7564
Practice Address - Street 1:1031 E OAK ST
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-8923
Practice Address - Country:US
Practice Address - Phone:863-491-7580
Practice Address - Fax:863-491-7584
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3191932363LP2300X, 363LS0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL027924230Medicaid
FLY01ESOtherBCBS PROVIDER NUMBER
FL027924230Medicaid