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MISS JEANINE PARKS
NPI 1104011931
Rehabilitation Practitioner in Fresno, CA

Active since September 14, 2007
6250 N MILLBROOK AVE, FRESNO, CA 93710(559) 431-7874 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Feb 18, 2025, Sep 21, 2021 and 2 more (5 updates tracked since 2021).

About Miss Jeanine Parks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JEANINE PARKS (NPI 1104011931) is an individual rehabilitation practitioner in Fresno, California and active in the NPI registry since September 2007. She maintains 9 additional practice locations.

NPPES Registry Identity

NPI1104011931
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMISS JEANINE PARKS
Location Address6250 N MILLBROOK AVEFresno, CA 93710-5620
Mailing Address4928 E Clinton Way Ste 108Fresno, CA 93727-1526 · (559) 252-2804 · Fax (559) 252-2804
Phone(559) 431-7874
Sole ProprietorYes
Enumeration DateSeptember 14, 2007
Last NPPES UpdateJune 6, 20255 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1104011931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
6250 N MILLBROOK AVE, Fresno, CA 93710
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Secondary Practice Locations 9

Location 12216 E Cambridge AveFresno, CA 93703-2123 · Phone (559) 252-2140
Location 24165 E Perrin RdClovis, CA 93619-9118 · Phone (559) 297-6893
Location 3320 E Warner AveFresno, CA 93710-3711 · Phone (559) 252-1613
Location 41105 E Yale AveFresno, CA 93704-6238 · Phone (559) 252-1738
Location 53267 W Rialto AveFresno, CA 93722-4138 · Phone (559) 244-0881
Location 6643 E Sample AveFresno, CA 93710-5428 · Phone (559) 252-2204
Location 76224 W Belmont AveFresno, CA 93723-9556 · Phone (559) 277-9089
Location 84862 E Clinton AveFresno, CA 93703-2873 · Phone (559) 252-2450
Location 93894 E Gettysburg AveFresno, CA 93726-0901 · Phone (559) 454-0822

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TIFFANY THADENA WILLIAMS
Counselor
6250 N MILLBROOK AVE
FRESNO, CA 93710
Fresno County (559) 252-6844
MR. ADAM W ANDERSON PSYCH ASSISTANT
Psychologist
6250 N MILLBROOK AVE
FRESNO, CA 93710
Fresno County (559) 431-4787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanine Parks's NPI number?

The NPI number for Jeanine Parks is 1104011931. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Jeanine Parks located?

Jeanine Parks practices at 6250 N Millbrook Ave, Fresno, CA 93710. The listed phone number is (559) 431-7874.

What is Jeanine Parks's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jeanine Parks was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.