Individual
JAMESICA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 875-7200
Mailing address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 875-7200
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN9273120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505388
—
FL
Enumeration date
03/28/2013
Last updated
08/27/2013
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