Provider Demographics
NPI:1376429118
Name:PARKER, VALENCIA
Entity type:Individual
Prefix:
First Name:VALENCIA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7735 PLANTATION BAY DR APT 605
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-5190
Mailing Address - Country:US
Mailing Address - Phone:901-453-2075
Mailing Address - Fax:
Practice Address - Street 1:7735 PLANTATION BAY DR APT 605
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-5190
Practice Address - Country:US
Practice Address - Phone:901-453-2075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula