Provider Demographics
NPI:1821507526
Name:PARKE, HELEN MARIE (NP)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:MARIE
Last Name:PARKE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:MARIE
Other - Last Name:GREGORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1900 TATE SPRINGS RD STE 3
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1115
Mailing Address - Country:US
Mailing Address - Phone:434-200-3366
Mailing Address - Fax:
Practice Address - Street 1:1900 TATE SPRINGS RD STE 3
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1115
Practice Address - Country:US
Practice Address - Phone:434-200-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily