Provider Demographics
NPI:1770373466
Name:PERKINS, JESSICA JEANNINE (RN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:JEANNINE
Last Name:PERKINS
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:662 MARSDEN RD
Mailing Address - Street 2:
Mailing Address - City:OVERBROOK
Mailing Address - State:OK
Mailing Address - Zip Code:73453-5516
Mailing Address - Country:US
Mailing Address - Phone:580-504-2327
Mailing Address - Fax:
Practice Address - Street 1:3472 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:HEALDTON
Practice Address - State:OK
Practice Address - Zip Code:73438-6124
Practice Address - Country:US
Practice Address - Phone:580-229-0079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0102436163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health