Provider Demographics
NPI:1720595739
Name:PARRISH, JAMIE LYNN (MSN, ARNP, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LYNN
Last Name:PARRISH
Suffix:
Gender:F
Credentials:MSN, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15995 W STATE ROAD 238
Mailing Address - Street 2:
Mailing Address - City:LAKE BUTLER
Mailing Address - State:FL
Mailing Address - Zip Code:32054-8501
Mailing Address - Country:US
Mailing Address - Phone:352-226-9686
Mailing Address - Fax:844-276-8610
Practice Address - Street 1:15995 W STATE ROAD 238
Practice Address - Street 2:
Practice Address - City:LAKE BUTLER
Practice Address - State:FL
Practice Address - Zip Code:32054-8501
Practice Address - Country:US
Practice Address - Phone:386-496-9006
Practice Address - Fax:844-276-8610
Is Sole Proprietor?:No
Enumeration Date:2017-12-29
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9232357363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily