Provider Demographics
NPI:1750666533
Name:PARRISH, HEATHER CARTER (NP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:CARTER
Last Name:PARRISH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 204
Mailing Address - Street 2:
Mailing Address - City:WENTWORTH
Mailing Address - State:NC
Mailing Address - Zip Code:27375-0204
Mailing Address - Country:US
Mailing Address - Phone:336-202-4913
Mailing Address - Fax:
Practice Address - Street 1:371 NC 65 STE 204
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-8881
Practice Address - Country:US
Practice Address - Phone:336-342-8140
Practice Address - Fax:336-342-8128
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006624363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner