IndividualActive
Parnell Roberson
NPI 1174390769 · Licensed Practical Nurse · Jacksonville, FL
Provider details
- NPI number
- 1174390769
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PN5232382 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6639 Southpoint Parkway Suite 108
Jacksonville, FL 32216-8042
Phone: (904) 438-7640
Fax: (904) 438-7656
Street-level locationGet directions
Mailing address
6639 Southpoint Pkwy
Jacksonville, FL 32216-8041
Registry dates
- Enumerated
- 2023-12-05
- Last updated
- 2023-12-05
- Certified
- 2023-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.