Healthcare Provider Details

I. General information

NPI: 1831018894
Provider Name (Legal Business Name): CARLENE PERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 SUNNYBROOK RD STE 220
RALEIGH NC
27610-1855
US

IV. Provider business mailing address

215 CLUB HILL DR
GARNER NC
27529-6572
US

V. Phone/Fax

Practice location:
  • Phone: 919-350-1215
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number273007
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: