Healthcare Provider Details

I. General information

NPI: 1710824982
Provider Name (Legal Business Name): JENALEIGH ALISE PERRY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W 69TH CT
LOVELAND CO
80538-1187
US

IV. Provider business mailing address

409 HARROW ST
SEVERANCE CO
80550-3284
US

V. Phone/Fax

Practice location:
  • Phone: 970-699-7500
  • Fax: 970-699-7111
Mailing address:
  • Phone: 970-217-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: