Provider Demographics
NPI:1639340771
Name:PERKIN, JANE EDITH (RN, BC, MA, CAGS)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:EDITH
Last Name:PERKIN
Suffix:
Gender:F
Credentials:RN, BC, MA, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 VIRGINIA RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2718
Mailing Address - Country:US
Mailing Address - Phone:978-318-8980
Mailing Address - Fax:978-318-9789
Practice Address - Street 1:696 VIRGINIA RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2718
Practice Address - Country:US
Practice Address - Phone:978-318-8980
Practice Address - Fax:978-318-9789
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA122463163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management