Provider Demographics
NPI:1457729956
Name:PARKS, KAMIE ERIN (RN,NP-C)
Entity Type:Individual
Prefix:
First Name:KAMIE
Middle Name:ERIN
Last Name:PARKS
Suffix:
Gender:F
Credentials:RN,NP-C
Other - Prefix:
Other - First Name:KAMIE
Other - Middle Name:ERIN
Other - Last Name:KEEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1713 ALAMO CT
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:TX
Mailing Address - Zip Code:79510-3502
Mailing Address - Country:US
Mailing Address - Phone:325-660-9068
Mailing Address - Fax:
Practice Address - Street 1:1900 PINE ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2432
Practice Address - Country:US
Practice Address - Phone:325-670-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129035363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily