Provider Demographics
NPI:1760882104
Name:PERKINS, LAUREN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 RICE MINE ROAD LOOP
Mailing Address - Street 2:STE 301
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2417
Mailing Address - Country:US
Mailing Address - Phone:205-339-8282
Mailing Address - Fax:
Practice Address - Street 1:952 ROSE DR
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3363
Practice Address - Country:US
Practice Address - Phone:205-339-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-122339363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily