Doctor Name: | MS. DAWN CAPRICE PEERY |
NPI Number: | 1871844498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | R860299 |
Business Practice Address: | 840 N Oak Ave Ruleville, MS - 387713227 |
Business Phone Number: | 6627562711 |
Business Fax Number: | |
Mailing Address: | 128 Country Club Dr, GREENWOOD |
State: | MS |
Postal Code: | 389306802 |
Phone Number: | 6628970201 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2012 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R860299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |