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JUANITAC PERKINS FNP-BC HEALTHCARE P.A NPI 1710577184


NPI Information

NPI: 1710577184
Provider Name: JUANITAC PERKINS FNP-BC HEALTHCARE, P.A
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3209 GUESS RD STE 108
DURHAM, NC
ZIP 27705
Phone: (919) 943-9515
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JUANITAC PERKINS FNP-BC HEALTHCARE, P.A is a multi-specialty clinic center in Durham, NC. JUANITAC PERKINS FNP-BC HEALTHCARE, P.A NPI is 1710577184. The provider is registered as an organization entity type.

The provider's business location address is:

3209 GUESS RD STE 108
DURHAM, NC
ZIP 27705-692
Phone: (919) 943-9515
Fax: (866) 788-7843

The provider's authorized official is Juanita Consuela Perkins .
The authorized official title is Owner and has the following contact phone number (919) 943-9515.

The enumeration date for this NPI number is 1/20/2021 and was last updated on 1/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM2500XClinic/CenterMedical SpecialtyNo
4261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11225163744OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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