Provider Demographics
NPI:1699488510
Name:PARSONS, CLARA MAE (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:CLARA
Middle Name:MAE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 ANDERSON
Mailing Address - Street 2:
Mailing Address - City:TISHOMINGO
Mailing Address - State:OK
Mailing Address - Zip Code:73460-2422
Mailing Address - Country:US
Mailing Address - Phone:580-371-7727
Mailing Address - Fax:
Practice Address - Street 1:1306 ANDERSON
Practice Address - Street 2:
Practice Address - City:TISHOMINGO
Practice Address - State:OK
Practice Address - Zip Code:73460-2422
Practice Address - Country:US
Practice Address - Phone:580-371-7727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0046307171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator