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NPI Code Detail

MEDICARE: MISS IRMA JEAN PERKINS ARPN, MSN

MEDICARE:  MISS IRMA JEAN PERKINS  ARPN, MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner091921MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053312611
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS IRMA JEAN PERKINS ARPN, MSN
Provider Business Mailing Address
First Line : 5701 DELMAR BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63112
Country : US
Telephone Number : 314-367-7848
Fax Number : 314-367-2985
Provider Business Practice Location Address
First Line : 5701 DELMAR BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63112
Country : US
Telephone Number : 314-367-7848
Fax Number : 314-367-2985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2005
Last Update Date : 04/22/2016

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Directions to “ MISS IRMA JEAN PERKINS ARPN, MSN” Practice Location

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