Provider Demographics
NPI:1235456484
Name:PARKER, SHERONDA (BS)
Entity Type:Individual
Prefix:
First Name:SHERONDA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 S AVANT LN
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-4906
Mailing Address - Country:US
Mailing Address - Phone:901-315-2421
Mailing Address - Fax:
Practice Address - Street 1:670 S AVANT LN
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-4906
Practice Address - Country:US
Practice Address - Phone:901-315-2421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator