# JUANITA C PERKINS FNP-BC HEALTHCARE, P.A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JuanitaC Perkins FNP-BC Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457942484
- **Authorized official:** JUANITA C PERKINS FNP-BC (OWNER)
- **Authorized official phone:** (919) 943-9515

## Contact information

- **Practice address:** 3209 GUESS RD STE 108, DURHAM, NC 27705-2692
- **Practice address phone:** (919) 748-3668
- **Practice address fax:** (866) 788-7843
- **Mailing address:** 1707 AUTUMN RIDGE DR, DURHAM, NC 27712-4601
- **Mailing address phone:** (919) 943-9515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 02/02/2021