Basic Information
Provider Information
NPI: 1528723426
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARISH
FirstName: MEREDITH
MiddleName: BROOKE
NamePrefix: MS.
NameSuffix:  
Credential: APRN, FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7140 DAVIS RD
Address2:  
City: HILLIARD
State: OH
PostalCode: 430268330
CountryCode: US
TelephoneNumber: 6143251924
FaxNumber:  
Practice Location
Address1: 4300 CLIME RD
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432286491
CountryCode: US
TelephoneNumber: 6142721100
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/04/2021
LastUpdateDate: 11/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN.CNP.0029077OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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