CARRIE LYNN PARK APRN FNP-BC WCC NPI 1558966291

NPI Information

  • NPI: 1558966291
  • Provider Name: CARRIE LYNN PARK, APRN, FNP-BC, WCC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4441 LONG PRAIRIE RD
    #400
    FLOWER MOUND, TX
    ZIP 75028
  • Phone: (214) 285-9200

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NPI Details

Carrie Lynn Park, APRN, FNP-BC, WCC is a family nurse practitioner in Flower Mound, TX. Carrie Lynn Park, APRN, FNP-BC, WCC NPI is 1558966291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4441 LONG PRAIRIE RD
#400
FLOWER MOUND, TX
ZIP 75028
Phone: (214) 285-9200

The NPI 1558966291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 1/27/2021.

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
1363LF0000XNurse PractitionerFamily1012559TEXASYes

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: 3/30/2025

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