1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Nurse Practitioner
  6. NPI Profile

MS. AGNES SHIRLEY PARKER ARNP
NPI 1124023932
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN

Active since June 17, 2005
1412 RIDGEWOOD PARK RD, MEMPHIS, TN 38116(901) 345-5401 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2017, May 31, 2017 (2 updates tracked since 2017).

About Ms. Agnes Shirley Parker Arnp NPPES

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

MS. AGNES SHIRLEY PARKER ARNP (NPI 1124023932) is an individual psychiatric/mental health provider in Memphis, Tennessee, licensed in Washington (AP60720782) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1124023932
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. AGNES SHIRLEY PARKERCredential: ARNP
Location Address1412 RIDGEWOOD PARK RDMemphis, TN 38116-7214
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651 · Fax (509) 363-2762
Phone(901) 345-5401
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateJune 14, 20172 updates tracked since enumeration
✔ NPI 1124023932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP60720782
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN0000005295 (TN), AP60720782 (WA)
1412 RIDGEWOOD PARK RD, Memphis, TN 38116
Open in Google Maps ↗

Other Identifiers 2

Medicaid1508441TN
Medicare PIN34998981TN

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 Agnes Parker's NPI number?

The NPI number for Agnes Parker is 1124023932. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Agnes Parker located?

Agnes Parker practices at 1412 Ridgewood Park Rd, Memphis, TN 38116. The listed phone number is (901) 345-5401.

What is Agnes Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Agnes Parker was last updated on June 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.