ANISSA PETERSON, PA-C
Physician Assistant
Active
Individual
NPI: 1093434870
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 5601011567 (MI) |
Frequently Asked Questions
NPI 1093434870 is the National Provider Identifier for ANISSA PETERSON, PA-C, a Physician Assistant provider located in Jackson, MI. This NPI was enumerated on August 24, 2022.
ANISSA PETERSON, PA-C practices at 1111 TENEYCK ST STE 100, Jackson, MI 49201.
Quick Facts
- NPI
- 1093434870
- Type
- Individual
- Enumerated
- Aug 24, 2022
- Last Updated
- Oct 6, 2025
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