Individual
TASHERA EVERLOIS NARCISSA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 S MCINTIRE DR, SUITE 250, BLOOMINGTON, IN 47403-4221
(812) 322-9217
(812) 330-4474
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01074999A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201291850
—
IN
Enumeration date
03/21/2011
Last updated
12/21/2020
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