Provider Demographics
NPI:1568155448
Name:PARKER, ARICA MONIQUE
Entity Type:Individual
Prefix:
First Name:ARICA
Middle Name:MONIQUE
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 PETUNIA DR
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:AL
Mailing Address - Zip Code:36301-6136
Mailing Address - Country:US
Mailing Address - Phone:334-200-0802
Mailing Address - Fax:
Practice Address - Street 1:222 PETUNIA DR
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:AL
Practice Address - Zip Code:36301-6136
Practice Address - Country:US
Practice Address - Phone:334-200-0802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0014242694376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide