Provider Demographics
NPI:1841449279
Name:PERKINS, DEBORAH HOWARD (GNP)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:HOWARD
Last Name:PERKINS
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 FORDS RD
Mailing Address - Street 2:
Mailing Address - City:MANAKIN SABOT
Mailing Address - State:VA
Mailing Address - Zip Code:23103-2138
Mailing Address - Country:US
Mailing Address - Phone:804-749-3203
Mailing Address - Fax:
Practice Address - Street 1:701 E BYRD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-3921
Practice Address - Country:US
Practice Address - Phone:804-697-2762
Practice Address - Fax:804-697-8005
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001089111363LG0600X
VA0015000857364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology