Provider Demographics
NPI:1124627690
Name:PERRYMAN, ALISON DENISE (MSN, RN, PMHNP)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:DENISE
Last Name:PERRYMAN
Suffix:
Gender:F
Credentials:MSN, RN, PMHNP
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:DENISE
Other - Last Name:PERRYMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, RN, PMHNP-BC
Mailing Address - Street 1:PO BOX 770
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-0770
Mailing Address - Country:US
Mailing Address - Phone:662-510-8606
Mailing Address - Fax:
Practice Address - Street 1:220 OAK TREE DR
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:MS
Practice Address - Zip Code:38632-1196
Practice Address - Country:US
Practice Address - Phone:662-510-8606
Practice Address - Fax:844-397-3305
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-25
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS905858363LP0808X
MS870446163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse