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NPI Code Detail

MEDICARE: TRINISHA PERRY

MEDICARE:   TRINISHA  PERRY
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
1163WM0102XMaternal Newborn Registered NurseRN9397526FL
2363L00000XNurse Practitioner5024018NC

General Provider Information

NPI Number : 1679395958
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINISHA PERRY
Provider Business Mailing Address
First Line : 6649 WOODS ISLAND CIR APT 106
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34952-1479
Country : US
Telephone Number : 772-288-2992
Fax Number : 772-288-2999
Provider Business Practice Location Address
First Line : 1210 NEW GARDEN RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-2721
Country : US
Telephone Number : 336-294-6190
Fax Number : 336-294-6278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2024
Last Update Date : 03/26/2026

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Directions to “ TRINISHA PERRY ” Practice Location

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