MRS. RHONDA FARRELL PEACOCK FNP NPI 1154423606

NPI Information

NPI: 1154423606
Provider Name: MRS. RHONDA FARRELL PEACOCK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3109 E WHITMORE AVE
CERES, CA
ZIP 95307
Phone: (209) 541-2929
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MRS. Rhonda Farrell Peacock, FNP is a family nurse practitioner in Ceres, CA. MRS. Rhonda Farrell Peacock, FNP NPI is 1154423606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3109 E WHITMORE AVE
CERES, CA
ZIP 95307-906
Phone: (209) 541-2929

The enumeration date for this NPI number is 9/4/2006 and was last updated on 7/8/2007.

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	363LF0000X	Nurse Practitioner	Family	291152	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P18179	MEDICARE UPIN	CALIFORNIA

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

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