MEDICARE: MS. KAREN LEIGH PERRY RN

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	163W00000X	Registered Nurse	RN77371	GA

General Provider Information

NPI Number	:	1477352037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN LEIGH PERRY RN

Provider Business Mailing Address
First Line	:	1600 CLIFTON RD NE RM 1105
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-4027
Country	:	US
Telephone Number	:	404-639-3385
Fax Number	:	404-639-3166

Provider Business Practice Location Address
First Line	:	1601 CLIFTON ROAD, NE
Second Line	:	BUILDING 16, ROOM 1105
City	:	ATLANTA
State	:	GA
Zip	:	30329-4018
Country	:	US
Telephone Number	:	404-639-3385
Fax Number	:

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

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	03/07/2025

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