Provider Demographics
NPI:1649040841
Name:PERKINS, SHARIKA YVONNE
Entity type:Individual
Prefix:MRS
First Name:SHARIKA
Middle Name:YVONNE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4613 OLD FOX TRL
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-6170
Mailing Address - Country:US
Mailing Address - Phone:910-813-0172
Mailing Address - Fax:
Practice Address - Street 1:713 FENWAY AVE STE 3
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-3333
Practice Address - Country:US
Practice Address - Phone:910-813-0172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide