Provider Demographics
NPI:1245864628
Name:PERRY, ERIKA JANE (RN, CNOR, RNFA)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:JANE
Last Name:PERRY
Suffix:
Gender:F
Credentials:RN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6707 HIDDEN COLONY LN
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-4472
Mailing Address - Country:US
Mailing Address - Phone:713-257-0515
Mailing Address - Fax:
Practice Address - Street 1:2622 MARINA BAY DR
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2758
Practice Address - Country:US
Practice Address - Phone:281-538-6600
Practice Address - Fax:281-535-2800
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX893615163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty