Provider Demographics
NPI:1659026862
Name:PARSONS, JOE ANN
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:ANN
Last Name:PARSONS
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 1:423 UPPER TABORS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FORT GAY
Mailing Address - State:WV
Mailing Address - Zip Code:25514-7093
Mailing Address - Country:US
Mailing Address - Phone:304-544-5173
Mailing Address - Fax:
Practice Address - Street 1:423 UPPER TABORS CREEK RD
Practice Address - Street 2:
Practice Address - City:FORT GAY
Practice Address - State:WV
Practice Address - Zip Code:25514-7093
Practice Address - Country:US
Practice Address - Phone:304-544-5173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant