Perry, Jean

Perry, Jean is an individual health care provider with primary practice located at 1600 Divisadero St Fl 4 , San Francisco CA 94143-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Perry, Jean can be contacted via phone (415) 353-7100.

Contact Information

Primary practice address
1600 Divisadero St Fl 4 San Francisco CA 94143-0001
Phone: (415) 353-7100
Fax: (415) 353-7105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NP7614 California

Profile Details

NPI number 1588696397
LBN Legal business name Perry, Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588696397 NPPES
California MEDICAID 00NP76140

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