Provider Demographics
NPI:1871885210
Name:PARKER, HEATHER SMITH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:SMITH
Last Name:PARKER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:10900 WORLD TRADE BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-4202
Mailing Address - Country:US
Mailing Address - Phone:919-237-1337
Mailing Address - Fax:919-237-1625
Practice Address - Street 1:876 TIMBER DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4850
Practice Address - Country:US
Practice Address - Phone:919-803-2285
Practice Address - Fax:919-803-2318
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2025-01-13
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Provider Licenses
StateLicense IDTaxonomies
NC0010-02737363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical