MRS. JESSIE JOANN PETERS FNP-BC NPI 1548593452

NPI Information

NPI: 1548593452
Provider Name: MRS. JESSIE JOANN PETERS, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
651 W MINGUS AVE
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-2236
Get Directions

MRS. Jessie Joann Peters, FNP-BC is a family nurse practitioner in Cottonwood, AZ. MRS. Jessie Joann Peters, FNP-BC NPI is 1548593452. 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:

651 W MINGUS AVE
COTTONWOOD, AZ
ZIP 86326-006
Phone: (928) 634-2236
Fax: (928) 634-8960

The NPI 1548593452 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 9/9/2009 and was last updated on 12/8/2015.

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	AP3454	ARIZONA	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	Z144170	MEDICARE PIN	ARIZONA
2	539866	MEDICAID	ARIZONA

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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