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MISS DEBORAH KONKLE PARKER NP

Physicians Internal Medicine Infectious Disease

Provider NPI: 1942234596

Provider Information:
MISS DEBORAH KONKLE PARKER NP
Gender: F
Not Sole Proprietor

Practice Location:
2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF INFECTIOUS DISEASE JACKSON, MS 39216-4500 US
Tel: 601-984-5560  Fax: --

Business Mailing Address:
2500 NORTH STATE STREET UNIVERSITY PHYSICIANS PLLC JACKSON, MS 39216-4500 US
Tel: 601-984-5560  Fax: 601-984-5565

NPI Information:
NPI: 1942234596
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RI0200XPhysicians
Internal Medicine
Infectious Disease
MSR795171
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MSR795171

Other Provider Identifiers:

IssuerNumberStateType
0118355MS05
RAILROAD MEDICAREP01745486MS01



American Medical Association 2012 taxonomy code information

Code: 363L00000X

Type:

Classification:



Definition:



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