Individual
JUANITA CONSUELA PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3209 GUESS RD STE 108, DURHAM, NC 27705-2692
(919) 748-3668
(866) 788-7843
Mailing address
1707 AUTUMN RIDGE DR, DURHAM, NC 27712-4601
(919) 943-9515
(866) 788-7843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200599
NC
363LF0000X
Family Nurse Practitioner
334577
NY
363LF0000X
Family Nurse Practitioner
Primary
5001612
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5001612
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004483
—
NC
Enumeration date
02/23/2007
Last updated
09/17/2020
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