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

Individual provider Nurse Practitioner · NPI 1407964844

Kenneth S Parker, ACNP is a Nurse Practitioner in Laurel, Mississippi. Qualified in 2005, 21 years ago. Practices with South Central Clinics, Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
21
Licensed in
MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

404 S 13th Ave
Laurel, MS 39440-4345
Phone: (601) 425-5544
Fax: (601) 425-5525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 851488 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence R851488 (MS)

Record details

NPI number1407964844
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorNo
NPI enumeratedAugust 27, 2006
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice South Central Clinics, Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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