Provider Demographics
NPI:1609272905
Name:PERKINS, DAROLYN (NP-C)
Entity Type:Individual
Prefix:
First Name:DAROLYN
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13908 ROLLINGWOOD DR
Mailing Address - Street 2:APT. 1222
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-2507
Mailing Address - Country:US
Mailing Address - Phone:817-524-9356
Mailing Address - Fax:
Practice Address - Street 1:14121 PARKE LONG CT
Practice Address - Street 2:SUITE 201
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-1647
Practice Address - Country:US
Practice Address - Phone:703-935-4904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126380363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health