Individual
PACIA A PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1700 ALBER ST, WABASH, IN 46992-1015
(260) 563-9405
(260) 563-9406
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 563-9405
(260) 563-9406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28142345A
IN
363LF0000X
Family Nurse Practitioner
28142345A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003888A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201097120
—
IN
Enumeration date
01/26/2012
Last updated
01/12/2023
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