Healthcare Provider Details

I. General information

NPI: 1750142519
Provider Name (Legal Business Name): ALISON PERRY PMHNP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
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 TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALISON PERRY
Title or Position: OWNER PMHNP
Credential: PMHNP
Phone: 415-235-8598