MEDICARE: ERIN NICOLE PERRY NP

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	363LF0000X	Family Nurse Practitioner	1047218	TX
2	363L00000X	Nurse Practitioner	1047218	TX

General Provider Information

NPI Number	:	1366014490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN NICOLE PERRY NP

Provider Business Mailing Address
First Line	:	783 N DENTON TAP RD STE 200
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-2171
Country	:	US
Telephone Number	:	972-745-8400
Fax Number	:	972-315-9053

Provider Business Practice Location Address
First Line	:	783 N DENTON TAP RD STE 200
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-2171
Country	:	US
Telephone Number	:	972-745-8400
Fax Number	:

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

Provider Enumeration Date	:	07/16/2021
Last Update Date	:	03/25/2024

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Directions to “ ERIN NICOLE PERRY NP” Practice Location

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