DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JESSICA LYNN PETERSON, ND, LAC

Active Sole Proprietor

Acupuncturist · DYER, IN

Registration Details

NPI Number
1093331126
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2020 (5.8659636713583 yrs)
Last Updated
Jun 24, 2020
Licenses
099.0134092 (VT)
84000210A (IN)
Sole Proprietor
Yes

Practice Information

Address
1139 JOLIET ST
DYER, IN, 463111926
Browse IN providers · Browse ZIP 46311
Phone
2196417359
Primary Specialty
Acupuncturist
171100000X
Additional Specialty
Acupuncturist

Other Acupuncturist Providers in DYER, IN

Name Credential NPI
JASON ANDREW WILSON L.AC. M.S.O.M. 1861651663
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.