Provider Demographics
NPI:1316361009
Name:PARKER, LOU ANN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LOU
Middle Name:ANN
Last Name:PARKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 MOUNTAINVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-7644
Mailing Address - Country:US
Mailing Address - Phone:479-651-6058
Mailing Address - Fax:
Practice Address - Street 1:616 S 17TH ST
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-4700
Practice Address - Country:US
Practice Address - Phone:479-434-3011
Practice Address - Fax:479-434-3014
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004023363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARA004023OtherCERTIFIED NURSE PRACTITIONER