Jillian Elise Parks, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95034328 Issued in CA

Practice address

5555 Inglewood Blvd Ste 101
Culver City, CA 90230-6249

Phone

(424) 532-1552

Fax

(888) 247-7249

NPI assigned

Mar 13, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1861292534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 INGLEWOOD BLVD STE 102",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306249",
            "telephone_number": "424-532-1552",
            "fax_number": "888-247-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 INGLEWOOD BLVD STE 101",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306249",
            "telephone_number": "424-532-1552",
            "fax_number": "888-247-7249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3669 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900184107",
            "country_code": "US",
            "telephone_number": "424-532-1552",
            "fax_number": "888-247-7249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JILLIAN",
        "middle_name": "ELISE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sungyool Park
• Allison Lea Parker, MFT
• David Parker
• Mary Nettalyce Parker
• Nathan Parker
• Katie Pearl Parks, ACSW
• Zoenda J Parks, ACSW
• Darwin Parra
• Gerardo G Parra, MFT
• Josie Parra

• Psychiatric/Mental Health Nurse Practitioner in Culver City, CA
• Providers in Culver City, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.