Provider Demographics
NPI:1073210936
Name:DUKE, CHIMENA PEACE (APN)
Entity type:Individual
Prefix:
First Name:CHIMENA
Middle Name:PEACE
Last Name:DUKE
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 1:1501 HAMBURG TPKE STE 2
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4032
Mailing Address - Country:US
Mailing Address - Phone:862-684-8484
Mailing Address - Fax:
Practice Address - Street 1:1501 HAMBURG TPKE STE 2
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-4032
Practice Address - Country:US
Practice Address - Phone:862-684-8484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2025-02-08
Deactivation Date:2025-01-30
Deactivation Code:
Reactivation Date:2025-01-31
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01427100363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health