Provider Demographics
NPI:1376096768
Name:PARKER, NATALIE JEAN (APRN, WHNP-BC, CNM)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:JEAN
Last Name:PARKER
Suffix:
Gender:F
Credentials:APRN, WHNP-BC, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61103-3927
Mailing Address - Country:US
Mailing Address - Phone:608-609-0688
Mailing Address - Fax:
Practice Address - Street 1:555 N COURT ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61103-6862
Practice Address - Country:US
Practice Address - Phone:815-720-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI165793-30163WW0101X
WI7021-33363LW0102X
ILCNM08060367A00000X
IL209020451363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife