=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750142519
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALISON PERRY PMHNP LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2024
-----------------------------------------------------
Last Update Date | 01/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 208 GOVERNOR ST
-----------------------------------------------------
City | PROVIDENCE
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02906-3239
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-227-3007
-----------------------------------------------------
Fax | 401-340-1783
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11 S ANGELL ST # 312
-----------------------------------------------------
City | PROVIDENCE
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02906-5206
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-227-3007
-----------------------------------------------------
Fax | 401-340-1783
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER PMHNP
-----------------------------------------------------
Name | ALISON PERRY
-----------------------------------------------------
Credential | PMHNP
-----------------------------------------------------
Telephone | 415-235-8598
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------