Provider Demographics
NPI:1801955182
Name:PARKER, VERNITA HARRINGTON (DIRECTOR)
Entity type:Individual
Prefix:
First Name:VERNITA
Middle Name:HARRINGTON
Last Name:PARKER
Suffix:
Gender:F
Credentials:DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2179 ELLIOTT ST
Mailing Address - Street 2:PO BOX 1312
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-6247
Mailing Address - Country:US
Mailing Address - Phone:919-692-0555
Mailing Address - Fax:919-692-0550
Practice Address - Street 1:2179 ELLIOTT ST
Practice Address - Street 2:2179 ELLIOTT ST.
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-6247
Practice Address - Country:US
Practice Address - Phone:919-692-0555
Practice Address - Fax:919-692-0550
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3541251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health