Provider Demographics
NPI:1023846722
Name:PARNELL, DAMIAN PAUL (FNP-C)
Entity type:Individual
Prefix:MR
First Name:DAMIAN
Middle Name:PAUL
Last Name:PARNELL
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 INDIAN SPRINGS TRCE
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-8359
Mailing Address - Country:US
Mailing Address - Phone:502-220-8092
Mailing Address - Fax:
Practice Address - Street 1:85 INDIAN SPRINGS TRCE
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-8359
Practice Address - Country:US
Practice Address - Phone:502-220-8092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3016246363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily