Mrs. Mandi Nicole Parks

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760966188

Mrs. Mandi Nicole Parks is a Nurse Practitioner in Salem, Missouri. Qualified in 2018, 8 years ago. Practices with South Central Missouri Community Health Center, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying: 8
Licensed in: MO
In the registry since: 2018
Specialties on file: 2

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Salem, MO

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

18950 Highway C, Lenox, MO 65541-9306 — (573) 247-0715

Specialties & licences

Family Nurse Practitioner (primary)	Taxonomy 363LF0000X · Licence 2018036147 (MO)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1760966188
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	September 21, 2018
Last updated in NPPES	October 3, 2018

Medicare enrollment

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

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2018 (8 years in practice)
Group practice	South Central Missouri Community Health Center — 13 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount