Individual
JOANNE M PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
(207) 871-1232
Mailing address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
RN223580
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP151168
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JP76231
—
RI
Enumeration date
06/30/2006
Last updated
02/24/2020
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