Provider Demographics
NPI:1881342913
Name:PARSONS, KERRY (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MS
Other - First Name:KERRY
Other - Middle Name:ANN
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:KERRY PARSONS
Mailing Address - Street 1:53 LANGLEY RD STE 250
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1945
Mailing Address - Country:US
Mailing Address - Phone:617-863-8810
Mailing Address - Fax:617-863-8844
Practice Address - Street 1:53 LANGLEY RD STE 250
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1945
Practice Address - Country:US
Practice Address - Phone:617-863-8810
Practice Address - Fax:617-863-8844
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2277223363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health