NPI Index

MRS. JENNIFER PETERSEN, NURSE PRACTITIONER

Nurse Practitioner - Family

Active Individual
NPI: 1629053343

Practice Address

11050 MOUNT BELVEDERE BLVD
USA MEDDAC ATTN: CREDENTIALS
Fort Drum, NY 13602

Phone: (315) 772-4025

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 44888 (KS)

Frequently Asked Questions

NPI 1629053343 is the National Provider Identifier for MRS. JENNIFER PETERSEN, NURSE PRACTITIONER, a Nurse Practitioner - Family provider located in Fort Drum, NY. This NPI was enumerated on December 15, 2005.
MRS. JENNIFER PETERSEN, NURSE PRACTITIONER practices at 11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS, Fort Drum, NY 13602.

Quick Facts

NPI
1629053343
Type
Individual
Enumerated
Dec 15, 2005
Last Updated
Jul 8, 2007

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