| Juanitac Perkins Fnp-bc Healthcare, P.a | |
|
3209 Guess Rd Ste 108 Durham NC 27705-2692 | |
| (919) 943-9515 | |
| (866) 788-7843 |
| Full Name | Juanitac Perkins Fnp-bc Healthcare, P.a |
|---|---|
| Speciality | Clinic/Center |
| Location | 3209 Guess Rd Ste 108, Durham, North Carolina |
| Authorized Official Name and Position | Juanita Consuela Perkins (OWNER) |
| Authorized Official Contact | 9199439515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juanitac Perkins Fnp-bc Healthcare, P.a 1707 Autumn Ridge Dr Durham NC 27712-4601 Ph: (919) 943-9515 | Juanitac Perkins Fnp-bc Healthcare, P.a 3209 Guess Rd Ste 108 Durham NC 27705-2692 Ph: (919) 943-9515 |
| NPI Number | 1710577184 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 01/20/2021 |
| Medicare PECOS PAC ID | 5597162172 |
|---|---|
| Medicare Enrollment ID | O20210923003665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710577184 | NPI | - | NPPES |
| 1225163744 | Other | NPI |
| Provider Name | Juanita Consuela Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225163744 PECOS PAC ID: 6305978982 Enrollment ID: I20100716000641 |
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