Individual
MARLA M. JORDON-PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E CARPENTER ST, ROOM 2K64, SPRINGFIELD, IL 62769-0002
(217) 525-5643
(217) 544-2521
Mailing address
800 E CARPENTER ST RM 2K64, SPRINGFIELD, IL 62769-0001
(217) 525-5643
(217) 544-2521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041-272565
IL
367500000X
Certified Registered Nurse Anesthetist
8927
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209006988
—
IL
Enumeration date
02/25/2008
Last updated
01/08/2026
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