Provider Demographics
NPI:1598871147
Name:PARNELL, PAULA B (FNP)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:B
Last Name:PARNELL
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 MADISON DR STE 102
Mailing Address - Street 2:
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-4328
Mailing Address - Country:US
Mailing Address - Phone:843-892-0007
Mailing Address - Fax:
Practice Address - Street 1:2408 MADISON DR STE 102
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-4328
Practice Address - Country:US
Practice Address - Phone:843-892-0007
Practice Address - Fax:855-710-6355
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2983363LF0000X, 363LP2300X
NC5005171363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care