Organization
JUANITAC PERKINS FNP-BC HEALTHCARE, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA CONSUELA PERKINS FNP (OWNER)
(919) 943-9515
Entity
Organization
Contact information
Practice address
3209 GUESS RD STE 108, DURHAM, NC 27705-2692
(919) 943-9515
(866) 788-7843
Mailing address
1707 AUTUMN RIDGE DR, DURHAM, NC 27712-4601
(919) 943-9515
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225163744
NPI
—
Enumeration date
01/20/2021
Last updated
01/20/2021
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