Dr. Jacob C. Parker, DO, MD
Specialist/Technologist, Other in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1326510751
StatusActive
Last updated in NPPESNov 11, 2025
Details
- NPI
- 1326510751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob C. Parker
- Credential
- DO, MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 24, 2018
- Certification date
- Nov 11, 2025
- Last updated
- Nov 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | 800341120 | MS | Yes |
| 103TP0814X | Psychologist, Psychoanalysis | 8420042213 | IL | |
| 163WC0400X | Registered Nurse, Case Management | MS80885 | MS | |
| 246Z00000X | Specialist/Technologist, Other | 800341120 | HI |
Other names
- Christen Daniels (Professional Name)
Practice location
300 Fairway DrHattiesburg, MS 39401-7715
Phone 601-307-5339
Mailing address
300 Fairway DrHattiesburg, MS 39401-7715
Phone 601-329-1321
Other practice locations
229 Paoakalani Ave # 714
Honolulu, HI 96815-3764
Honolulu, HI 96815-3764
Phone 650-253-0000 · Fax 650-253-0001
5001 Hardy St # 8
Hattiesburg, MS 39402-1308
Hattiesburg, MS 39402-1308
Phone 601-268-8000
3301 N Milwaukee St
Denver, CO 80205-4322
Denver, CO 80205-4322
Phone 601-307-8060
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