Provider Demographics
NPI:1457894370
Name:WARD, JOHN PARKER (APRN)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PARKER
Last Name:WARD
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:12470 TELECOM DR STE 300
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-0904
Mailing Address - Country:US
Mailing Address - Phone:813-871-8200
Mailing Address - Fax:813-357-5501
Practice Address - Street 1:12470 TELECOM DR STE 300
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33637-0904
Practice Address - Country:US
Practice Address - Phone:813-871-8200
Practice Address - Fax:813-357-5501
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-25
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704325406363LF0000X
OHAPRN.CNP.020112363LF0000X
FLAPRN9486534363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily