Provider Demographics
NPI:1245037159
Name:PERKINS, JESSICA CLARISE (APRN-CNS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:CLARISE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:APRN-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18504 SALVADOR RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-7652
Mailing Address - Country:US
Mailing Address - Phone:479-283-9742
Mailing Address - Fax:
Practice Address - Street 1:800 NE 10TH ST # 4B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5418
Practice Address - Country:US
Practice Address - Phone:405-271-4088
Practice Address - Fax:405-271-4099
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK221862163WU0100X, 364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
No163WU0100XNursing Service ProvidersRegistered NurseUrologyGroup - Single Specialty