JENNIFER MARIE PETERSEN AGNP-C NPI 1740705003

NPI Information

NPI: 1740705003
Provider Name: JENNIFER MARIE PETERSEN, AGNP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1892 BASSETT RD
WESTLAKE, OH
ZIP 44145
Phone: (440) 465-7124
Get Directions

Jennifer Marie Petersen, AGNP-C is an adult health nurse practitioner in Westlake, OH with 8 years of experience. Jennifer Marie Petersen, AGNP-C NPI is 1740705003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1892 BASSETT RD
WESTLAKE, OH
ZIP 44145-909
Phone: (440) 465-7124

The NPI 1740705003 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 9/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	APRN.CNP.020810	OHIO	No
2	363LA2200X	Nurse Practitioner	Adult Health	APRN.CNP.020810	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »