Provider Demographics
NPI:1528429180
Name:PARKER, CATHERINE (APN, NNP-BC)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:APN, NNP-BC
Other - Prefix:MRS
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN, NNP-BC
Mailing Address - Street 1:5312 DEE RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-5919
Mailing Address - Country:US
Mailing Address - Phone:901-550-3184
Mailing Address - Fax:
Practice Address - Street 1:848 ADAMS AVE
Practice Address - Street 2:NICU, 4TH FLOOR
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2816
Practice Address - Country:US
Practice Address - Phone:901-287-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19927363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care