Provider Demographics
NPI:1821883489
Name:PARKER, NATALIE HARRIS
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:HARRIS
Last Name:PARKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:HARRIS
Other - Last Name:MYRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5329 JUBILOSO DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8745
Mailing Address - Country:US
Mailing Address - Phone:407-881-3086
Mailing Address - Fax:407-881-3086
Practice Address - Street 1:5329 JUBILOSO DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8745
Practice Address - Country:US
Practice Address - Phone:407-881-3086
Practice Address - Fax:407-881-3086
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator