Provider Demographics
NPI:1700615622
Name:PERKINS, DEANA JOLEEN (APRN, AGCNS-BC)
Entity type:Individual
Prefix:
First Name:DEANA
Middle Name:JOLEEN
Last Name:PERKINS
Suffix:
Gender:F
Credentials:APRN, AGCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 FARRELL DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3321
Mailing Address - Country:US
Mailing Address - Phone:308-383-5068
Mailing Address - Fax:
Practice Address - Street 1:1709 FARRELL DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3321
Practice Address - Country:US
Practice Address - Phone:308-383-5068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE00000000364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist