Provider Demographics
NPI:1942607130
Name:PERKINS, SARAH (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
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 1:411 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:MARKS
Mailing Address - State:MS
Mailing Address - Zip Code:38646-1338
Mailing Address - Country:US
Mailing Address - Phone:662-326-9232
Mailing Address - Fax:662-326-8851
Practice Address - Street 1:300 E MAIN STREET PLZ
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668-2227
Practice Address - Country:US
Practice Address - Phone:662-562-8278
Practice Address - Fax:662-562-8279
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000019002363LF0000X
MS869180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily