Durrence-Perkins, Brandi Leigh

Durrence-Perkins, Brandi Leigh is an individual health care provider with primary practice located at 1250 S 18Th St , Fernandina Beach FL 32034-1902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Durrence-Perkins, Brandi Leigh can be contacted via phone (904) 261-9106.

Contact Information

Primary practice address
1250 S 18Th St Fernandina Beach FL 32034-1902
Phone: (904) 261-9106
Fax: (904) 277-3611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN134365 Georgia

Profile Details

NPI number 1699742262
LBN Legal business name Durrence-Perkins, Brandi Leigh
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Sep 23rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699742262 NPPES
Georgia MEDICAID 000971066B
Georgia MEDICAID 000971066H
Georgia MEDICAID 308366700

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