Healthcare Provider Details

I. General information

NPI: 1124046511
Provider Name (Legal Business Name): ALISON PERRY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 GOVERNOR ST
PROVIDENCE RI
02906-3239
US

IV. Provider business mailing address

11 S ANGELL ST # 312
PROVIDENCE RI
02906-5206
US

V. Phone/Fax

Practice location:
  • Phone: 401-227-3007
  • Fax: 401-340-1783
Mailing address:
  • Phone: 401-227-3007
  • Fax: 401-340-1783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN00720
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN03720
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: