Provider Demographics
NPI:1144675372
Name:SHARISA PARKER
Entity type:Organization
Organization Name:SHARISA PARKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARISA
Authorized Official - Middle Name:LASHON
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-851-2142
Mailing Address - Street 1:2695 N QUAKER AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74106-2637
Mailing Address - Country:US
Mailing Address - Phone:918-851-2142
Mailing Address - Fax:
Practice Address - Street 1:2695 N QUAKER AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106-2637
Practice Address - Country:US
Practice Address - Phone:918-851-2142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management