Provider Demographics
NPI:1922525146
Name:PERRY, KORINNE ELISE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KORINNE
Middle Name:ELISE
Last Name:PERRY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:G3169 BEECHER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3611
Mailing Address - Country:US
Mailing Address - Phone:616-301-8000
Mailing Address - Fax:810-744-1306
Practice Address - Street 1:G3169 BEECHER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3611
Practice Address - Country:US
Practice Address - Phone:616-301-8000
Practice Address - Fax:810-744-1306
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2025-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601008339363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant