Individual
MS. CASEY MARIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
(386) 755-7940
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 372-5556
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9337756
FL
363LP2300X
Primary Care Nurse Practitioner
APRN9337756
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004564900
—
FL
Enumeration date
02/20/2012
Last updated
11/14/2019
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