Provider Demographics
NPI:1326553561
Name:PARRISH, JENIFER LEIGH
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:LEIGH
Last Name:PARRISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6215 AVIAN GLEN CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-4876
Mailing Address - Country:US
Mailing Address - Phone:910-850-3326
Mailing Address - Fax:
Practice Address - Street 1:6991 TERRITORIAL DR
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99564
Practice Address - Country:US
Practice Address - Phone:910-850-3326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician