Provider Demographics
NPI:1770298580
Name:PARSON, CHRISTY LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LYNN
Last Name:PARSON
Suffix:
Gender:F
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 1:3574 MELROSE DR UNIT O3
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-5595
Mailing Address - Country:US
Mailing Address - Phone:330-904-9367
Mailing Address - Fax:
Practice Address - Street 1:740 COMMERCE DR STE A
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5276
Practice Address - Country:US
Practice Address - Phone:855-259-9183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0031169363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty