Individual
MRS. GENNA MARIANNA PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
Mailing address
591 MONON BLVD APT 112, CARMEL, IN 46032-2394
(219) 286-2452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010520A
IN
Other
Enumeration date
08/25/2020
Last updated
12/20/2023
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