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Individual
MS. JENNIFER SUZETTE PERRY
Active
Individual
MS. JENNIFER SUZETTE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9700708
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068R
BCBS
NC
05
—
891068R
—
NC
Enumeration date
06/07/2006
Last updated
08/14/2013
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