Perry, Susanna Claire

Perry, Susanna Claire is an individual health care provider with primary practice located at 6363 N State Highway 161 Ste 100 , Irving TX 75038-2239. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Perry, Susanna Claire can be contacted via phone (469) 200-3272.

Contact Information

Primary practice address
6363 N State Highway 161 Ste 100 Irving TX 75038-2239
Phone: (469) 200-3272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP136143 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP136143 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 721960 Texas

Profile Details

NPI number 1871008045
LBN Legal business name Perry, Susanna Claire
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2017
Last updated Nov 5th, 2024 - about 2 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 1871008045 NPPES
Texas MEDICAID 378953902

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