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NPI Code Detail

MEDICARE: NANCY JO PERKINS CNM

MEDICARE: NANCY JO PERKINS CNM
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
1367A00000XAdvanced Practice MidwifeNM02979OH
2367A00000XAdvanced Practice MidwifeRN176314OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2316400223035OTHEROHCARESOURCE CLINIC#

General Provider Information

NPI Number : 1184642316
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY JO PERKINS CNM
Provider Business Mailing Address
First Line : PO BOX 16370
Second Line :
City : COLUMBUS
State : OH
Zip : 43216-6370
Country : US
Telephone Number : 614-645-5500
Fax Number : 614-458-1849
Provider Business Practice Location Address
First Line : 1180 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-1902
Country : US
Telephone Number : 614-645-5535
Fax Number : 614-645-5546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 05/06/2015

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