Provider Demographics
NPI:1639720766
Name:PARSONS, JEFFREY MICHAEL (RN, APRN)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:MICHAEL
Last Name:PARSONS
Suffix:
Gender:M
Credentials:RN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 349
Mailing Address - Street 2:
Mailing Address - City:SMITH CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:66967-0349
Mailing Address - Country:US
Mailing Address - Phone:785-282-3793
Mailing Address - Fax:785-282-3793
Practice Address - Street 1:921 E HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:SMITH CENTER
Practice Address - State:KS
Practice Address - Zip Code:66967-9582
Practice Address - Country:US
Practice Address - Phone:785-282-3793
Practice Address - Fax:785-282-3793
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS79005363LF0000X
KS13-131395-012163W00000X
KSTMP-158935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse