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Individual

MRS. JAYNE LENOR PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2605 POTOMAC DR, HOUSTON, TX 77057-4529
(713) 784-1260
Mailing address
2605 POTOMAC DR, HOUSTON, TX 77057-4529
(713) 784-1260

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
542600
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
542600
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037963802
TX
01
889N77
BC/BS
TX
Enumeration date
08/31/2006
Last updated
08/20/2013
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