Provider Demographics
NPI:1881171627
Name:PARKER, REGLINDIS (PMHNP)
Entity type:Individual
Prefix:
First Name:REGLINDIS
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:REGLINDIS
Other - Middle Name:
Other - Last Name:RATTERAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8102 AZALEA GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7943
Mailing Address - Country:US
Mailing Address - Phone:423-227-3056
Mailing Address - Fax:
Practice Address - Street 1:2205 MCCALLIE AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-3230
Practice Address - Country:US
Practice Address - Phone:423-698-2435
Practice Address - Fax:423-499-6341
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2022-01-19
Deactivation Date:2019-09-04
Deactivation Code:
Reactivation Date:2019-09-30
Provider Licenses
StateLicense IDTaxonomies
GA247175363LP0808X
TN27114363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health