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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ETHAN PARKS RN
NPI 1518874718
Family Medicine in Vancleave, MS

Active since August 25, 2026
6312 ALLEN RD, VANCLEAVE, MS 39565(228) 900-0797 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ethan Parks Rn NPPES

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

ETHAN PARKS RN (NPI 1518874718) is an individual family medicine provider in Vancleave, Mississippi, licensed in Mississippi (925860) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1518874718
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameETHAN PARKSCredential: RN
Location Address6312 ALLEN RDVancleave, MS 39565-8643
Mailing Address13323 John Clark RdGulfport, MS 39503-4846 · (228) 669-9854
Phone(228) 900-0797
Sole ProprietorNo
Enumeration DateAugust 25, 2026
NPPES CertifiedAugust 25, 2026
✔ NPI 1518874718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 925860
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6312 ALLEN RD, Vancleave, MS 39565
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Other Providers at the Same Location NPPES

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

MICHAEL E LEE FNP-C
Nurse Practitioner (Family)
6312 ALLEN RD
VANCLEAVE, MS 39565
Jackson County (228) 900-0797

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 Ethan Parks's NPI number?

The NPI number for Ethan Parks is 1518874718. It was assigned to this individual provider in the NPPES registry on August 25, 2026.

Where is Ethan Parks located?

Ethan Parks practices at 6312 Allen Rd, Vancleave, MS 39565. The listed phone number is (228) 900-0797.

What is Ethan Parks's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ethan Parks was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.