Provider Demographics
NPI:1871321547
Name:PARSONS, AUSTIN (ARNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:PARSONS
Suffix:
Gender:M
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:AUSTIN
Other - Middle Name:
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, FNP-BC
Mailing Address - Street 1:2412 IRWIN ST
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-7316
Mailing Address - Country:US
Mailing Address - Phone:816-808-6328
Mailing Address - Fax:
Practice Address - Street 1:2412 IRWIN ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-7316
Practice Address - Country:US
Practice Address - Phone:816-808-6328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029778207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty