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:
Health care specialties
Specialty | Code | License # | 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 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699742262 | NPPES |
Georgia | MEDICAID | 000971066B | |
Georgia | MEDICAID | 000971066H | |
Georgia | MEDICAID | 308366700 |
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