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

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPRN-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.