Provider Demographics
NPI:1215744750
Name:PARRISH, CAITLYN LEE (APRN)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:LEE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:
Other - Last Name:FIELDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7641 TIMBERDALE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-1776
Mailing Address - Country:US
Mailing Address - Phone:706-325-4777
Mailing Address - Fax:
Practice Address - Street 1:1604 12TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-2938
Practice Address - Country:US
Practice Address - Phone:706-324-0471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP002960363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health