Healthcare Provider Details

I. General information

NPI: 1720711930
Provider Name (Legal Business Name): ADREANNE PERKINS MSN, ARNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 NW 114TH ST
CLIVE IA
50325-7030
US

IV. Provider business mailing address

2331 130TH ST
VAN METER IA
50261-8599
US

V. Phone/Fax

Practice location:
  • Phone: 515-229-5252
  • Fax:
Mailing address:
  • Phone: 515-229-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG169872
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: