Provider Demographics
NPI:1992385298
Name:PARSONS, REBECCA F
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:F
Last Name:PARSONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 COUNTY ROAD 3301
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75766-6030
Mailing Address - Country:US
Mailing Address - Phone:903-284-1757
Mailing Address - Fax:
Practice Address - Street 1:724 W SW LOOP 323 STE D
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-9409
Practice Address - Country:US
Practice Address - Phone:903-526-4663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-11
Last Update Date:2021-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX327883164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse