Provider Demographics
NPI:1841009891
Name:PEREZ, CHRISLENNY (APN)
Entity type:Individual
Prefix:
First Name:CHRISLENNY
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 STATE ROUTE 10 APT C35
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1228
Mailing Address - Country:US
Mailing Address - Phone:917-736-4420
Mailing Address - Fax:
Practice Address - Street 1:1033 US HIGHWAY 46 STE 102
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2448
Practice Address - Country:US
Practice Address - Phone:973-779-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15187300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily