Provider Demographics
NPI:1689130411
Name:PARSONS, JEAN-MARI (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:JEAN-MARI
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 SPRING CREEK DR APT 103
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-8207
Mailing Address - Country:US
Mailing Address - Phone:936-524-8326
Mailing Address - Fax:
Practice Address - Street 1:1100 SPRING CREEK DR
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-8207
Practice Address - Country:US
Practice Address - Phone:936-524-8326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-18
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer