Provider Demographics
NPI:1427688662
Name:PARSLEY, SHAUNDRA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHAUNDRA
Middle Name:
Last Name:PARSLEY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7306 STALLINGS DR
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-8371
Mailing Address - Country:US
Mailing Address - Phone:410-300-5056
Mailing Address - Fax:
Practice Address - Street 1:7306 STALLINGS DR
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-8371
Practice Address - Country:US
Practice Address - Phone:410-707-6099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR177271363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health