Provider Demographics
NPI:1457014219
Name:PARSON, TAIZHE' AQUEEN (CD, SCD, CBS)
Entity Type:Individual
Prefix:MS
First Name:TAIZHE'
Middle Name:AQUEEN
Last Name:PARSON
Suffix:
Gender:F
Credentials:CD, SCD, CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3407 MIDHURST DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1462
Mailing Address - Country:US
Mailing Address - Phone:804-479-4903
Mailing Address - Fax:
Practice Address - Street 1:3407 MIDHURST DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1462
Practice Address - Country:US
Practice Address - Phone:804-479-4903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2023-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00000000000Medicaid
VA000000000000000000OtherNURSING SERVICE RELATED PROVIDERS TYPE