Individual provider · Type 1 NPI
Carissa Perine, RN
Acute Care Nurse Practitioner · Waleska, GA
NPI number
1104260561
Active
Practice location
477 Rock House Rd
Waleska, GA 30183-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | APRN-NP280964 (GA) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1104260561
Carissa Perine, RN's National Provider Identifier is 1104260561, issued on Apr 29, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Waleska, GA. The record was last updated on Oct 17, 2025.