Individual
GRACEN PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3925 JOHNS CREEK CT STE D, SUWANEE, GA 30024-6618
(770) 622-7742
Mailing address
480 MORNING DOVE LN, SUWANEE, GA 30024-6077
(404) 791-2708
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN259014
GA
Other
Enumeration date
10/02/2020
Last updated
05/23/2022
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