DR. JACOB C. PARKER DO MD NPI 1326510751

NPI Information

NPI: 1326510751
Provider Name: DR. JACOB C. PARKER, DO, MD
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
5001 HARDY ST # 8
HATTIESBURG, MS
ZIP 39402
Phone: (601) 268-8000
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DR. Jacob C. Parker, DO, MD is a case management registered nurse in Hattiesburg, MS. DR. Jacob C. Parker, DO, MD NPI is 1326510751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5001 HARDY ST # 8
HATTIESBURG, MS
ZIP 39402-308
Phone: (601) 268-8000

The enumeration date for this NPI number is 12/24/2018 and was last updated on 2/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TP0814X	Psychologist	Psychoanalysis	8420042213	ILLINOIS	No
2	246Z00000X	Specialist/Technologist, Other		800341120	HAWAII	No
3	246Z00000X	Specialist/Technologist, Other		800341120	MISSISSIPPI	No
4	163WC0400X	Registered Nurse	Case Management	MS80885	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7NQ3-KD9-CK19	MEDICAID	MISSISSIPPI
2	800341120	MEDICAID	MISSISSIPPI
3	25187411	OTHER	MISSISSIPPI	CLINICAL LABORATORY IMPROVEMENT AMENDMENTS
4	251123217211	OTHER	MISSISSIPPI	CLIA LICENSES
5	MS80885	OTHER	MISSISSIPPI	MEDICAL LICENSES
6	314125401722	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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