Provider Demographics
NPI:1487436523
Name:PARKS, ALISON JEANE (PA-C)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:JEANE
Last Name:PARKS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1214 SHADOW MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-2165
Mailing Address - Country:US
Mailing Address - Phone:303-886-2253
Mailing Address - Fax:
Practice Address - Street 1:1214 SHADOW MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-2165
Practice Address - Country:US
Practice Address - Phone:303-886-2253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant