Provider Demographics
NPI:1871593533
Name:PERKINS, SHEILA S (NP)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:S
Last Name:PERKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:8526 SLEEPY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-6041
Mailing Address - Country:US
Mailing Address - Phone:225-573-0840
Mailing Address - Fax:
Practice Address - Street 1:1401 N FOSTER DR
Practice Address - Street 2:FAMILY PRACTICE CLINIC
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1818
Practice Address - Country:US
Practice Address - Phone:225-987-9000
Practice Address - Fax:225-987-9143
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03794363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1184144Medicaid
P00204041OtherRAILROAD MEDICARE
LA4B756CB97Medicare ID - Type Unspecified
4B756DD21Medicare PIN