Provider Demographics
NPI:1225718349
Name:PARSONS, SONDRA ROSE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:SONDRA
Middle Name:ROSE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:CENTRAL
Mailing Address - State:SC
Mailing Address - Zip Code:29630-9453
Mailing Address - Country:US
Mailing Address - Phone:864-653-0144
Mailing Address - Fax:
Practice Address - Street 1:253 LAUREL RD
Practice Address - Street 2:
Practice Address - City:CENTRAL
Practice Address - State:SC
Practice Address - Zip Code:29630-9453
Practice Address - Country:US
Practice Address - Phone:864-653-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC227375163WC1500X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management