Provider Demographics
NPI:1679121750
Name:PARNELL, TANIKA E (NP)
Entity type:Individual
Prefix:
First Name:TANIKA
Middle Name:E
Last Name:PARNELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:TANIKA
Other - Middle Name:
Other - Last Name:TAPSCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3020 CHILDRENS WAY # MC5003
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4223
Mailing Address - Country:US
Mailing Address - Phone:858-309-6300
Mailing Address - Fax:
Practice Address - Street 1:12036 SCRIPPS HIGHLANDS DR STE 102
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-5155
Practice Address - Country:US
Practice Address - Phone:858-566-4444
Practice Address - Fax:858-566-3321
Is Sole Proprietor?:No
Enumeration Date:2019-08-31
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN762495163W00000X
CANP95013165363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse