Healthcare Provider Details

I. General information

NPI: 1316668114
Provider Name (Legal Business Name): AMBER PERKINS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER PERKINS PMHNP-BC

II. Dates (important events)

Enumeration Date: 09/08/2022
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8841 MARION
REDFORD MI
48239-1733
US

IV. Provider business mailing address

8841 MARION
REDFORD MI
48239-1733
US

V. Phone/Fax

Practice location:
  • Phone: 248-403-1255
  • Fax:
Mailing address:
  • Phone: 248-403-1255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2026054857
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704349525
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: