Provider Demographics
NPI:1881160711
Name:PERKINS, MEGAN RAE (NP)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:RAE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4880 BIG ISLAND DR UNIT 3
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-7490
Mailing Address - Country:US
Mailing Address - Phone:904-750-6863
Mailing Address - Fax:615-371-8906
Practice Address - Street 1:4880 BIG ISLAND DR UNIT 3
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-7490
Practice Address - Country:US
Practice Address - Phone:904-750-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-18
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11020151363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner