Healthcare Provider Details

I. General information

NPI: 1982166294
Provider Name (Legal Business Name): AMBER PERRY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3218 SAINT CLAUDE AVE
NEW ORLEANS LA
70117-6659
US

IV. Provider business mailing address

4008 S BAMBOO DR
HARVEY LA
70058-5823
US

V. Phone/Fax

Practice location:
  • Phone: 504-324-7790
  • Fax:
Mailing address:
  • Phone: 504-269-7550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number227429
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number227429
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN138243
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: