Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Tyler Parker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699560813

John Tyler Parker is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence PARK-LNKR7G (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699560813
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address1600 Governors Dr Apt 811, Pensacola, FL 32514-9437

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