Individual provider · Type 1 NPI

Casey Marie Perry

Pediatric Nurse Practitioner · Lake City, FL

NPI number 1386917524 Active

Practice location

1859 SW Newland Way
Lake City, FL 32025-6966

Fax (386) 755-7940

Mailing address

PO Box 100296
Gainesville, FL 32610-0296

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAPRN9337756 (FL)
Pediatric Nurse Practitioner Primary 363LP0200XARNP9337756 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1386917524

Casey Marie Perry's National Provider Identifier is 1386917524, issued on Feb 20, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lake City, FL. The record was last updated on Nov 14, 2019.