# JUANITA C PERKINS FNP-BC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275827966
- **Authorized official:** JUANITA PERKINS (DIRECTOR)
- **Authorized official phone:** (919) 943-9515

## Contact information

- **Practice address:** 2515 NC HWY 55, SUITE D, DURHAM, NC 27713-1374
- **Practice address phone:** (919) 943-9515
- **Practice address fax:** (186) 678-8784
- **Mailing address:** 4716 MILLER DR, DURHAM, NC 27704-1372
- **Mailing address phone:** (919) 943-9515
- **Mailing address fax:** (866) 788-7843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5001612 | NC | Yes |

## Other

- **Enumeration date:** 05/31/2011
- **Last updated:** 05/31/2011
