Provider Demographics
NPI:1659154375
Name:PARKER, BRANDI JO (MSN, FNP-BC, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:JO
Last Name:PARKER
Suffix:
Gender:F
Credentials:MSN, FNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 MAIN ST STE 159
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2793
Mailing Address - Country:US
Mailing Address - Phone:205-583-4673
Mailing Address - Fax:
Practice Address - Street 1:651 MAIN ST STE 159
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2793
Practice Address - Country:US
Practice Address - Phone:205-583-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-105001363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily