Provider Demographics
NPI:1710210141
Name:PARRISH, JEFFREY HAYES
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:HAYES
Last Name:PARRISH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7996 OLD WINDING WAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-7159
Mailing Address - Country:US
Mailing Address - Phone:916-801-6693
Mailing Address - Fax:916-966-4599
Practice Address - Street 1:3440 VIKING DR
Practice Address - Street 2:SUITE 114
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2844
Practice Address - Country:US
Practice Address - Phone:916-737-0262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program