Provider Demographics
NPI:1437309911
Name:PEREZ, JENNIFER LEFNER (FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:LEFNER
Last Name:PEREZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2520 BROADWAY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1140
Mailing Address - Country:US
Mailing Address - Phone:210-595-1019
Mailing Address - Fax:210-251-3194
Practice Address - Street 1:2520 BROADWAY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1140
Practice Address - Country:US
Practice Address - Phone:210-595-1019
Practice Address - Fax:210-251-3194
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX680277363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily