Provider Demographics
NPI:1487903936
Name:PERKINS, AMY M (FNP-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:PERKINS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:M
Other - Last Name:GASKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:8995 W COMMERCE ST STE 4
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-6812
Mailing Address - Country:US
Mailing Address - Phone:662-589-6290
Mailing Address - Fax:662-649-6085
Practice Address - Street 1:8995 W COMMERCE ST STE 4
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:MS
Practice Address - Zip Code:38632-6812
Practice Address - Country:US
Practice Address - Phone:901-361-5746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS879057207QA0505X
MSF0712103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1487903936OtherBCBS
MSR879057OtherRN LICENSE
MS03003882Medicaid
MSF0712103OtherFNP LICENSE