Individual
MRS. MARY KATHLEEN BOONE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
700 ACADEMY ST S, AHOSKIE, NC 27910-3264
(252) 209-3867
(252) 209-3490
Mailing address
700 ACADEMY ST S, AHOSKIE, NC 27910-3264
(252) 209-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
225340
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006246
—
NC
01
—
8872480
CIGNA
NC
Enumeration date
07/18/2012
Last updated
09/09/2025
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