Individual
JENNY LEE TREST PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2580 PICKARD RD, WILMINGTON, NC 28403-4461
(910) 332-0701
(910) 332-0710
Mailing address
2580 PICKARD RD, WILMINGTON, NC 28403-4461
(910) 332-0701
(910) 332-0710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013126
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5013126
NC
Other
Enumeration date
05/21/2020
Last updated
09/30/2021
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