Doctor Name: | MS. SUSAN JEAN PERRY |
NPI Number: | 1023225125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 155975 |
Business Practice Address: | 1030 President Avenue Suite 3001 Southcoast Physician Services, Inc. Fall River, MA - 027205923 |
Business Phone Number: | 5086763411 |
Business Fax Number: | 5086747378 |
Mailing Address: | 370 Faunce Corner Road, Southcoast Physician Services, Inc. NORTH DARTMOUTH |
State: | MA |
Postal Code: | 027471271 |
Phone Number: | 5089852000 |
Fax Number: | 5089852001 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 03/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 155975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |