Parker, Agnes Shirley

Parker, Agnes Shirley is an individual health care provider with primary practice located at 1412 Ridgewood Park Rd , Memphis TN 38116-7214. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Parker, Agnes Shirley can be contacted via phone (901) 345-5401.

Contact Information

Primary practice address
1412 Ridgewood Park Rd Memphis TN 38116-7214
Phone: (901) 345-5401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000005295 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60720782 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60720782 Washington

Profile Details

NPI number 1124023932
LBN Legal business name Parker, Agnes Shirley
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jun 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124023932 NPPES
Tennessee MEDICAID 1508441

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