MEDICARE: MRS. MARISSA VALERIE PERRIER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11031903	FL

General Provider Information

NPI Number	:	1023868304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARISSA VALERIE PERRIER

Provider Business Mailing Address
First Line	:	2260 KINGWOOD COVE LN
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30045-7201
Country	:	US
Telephone Number	:	954-663-6016
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 DEKALB AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-5243
Country	:	US
Telephone Number	:	718-964-6161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2024
Last Update Date	:	01/05/2026

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