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

JACQUELYN PETERSON

Active

JACQUELYN PETERSON is a Medical Physician Assistant healthcare provider located in JAMESTOWN, New York. NPI 1124019948 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · JAMESTOWN, NY

Registration Details

NPI Number
1124019948
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2005 (20.758989067904 yrs)
Last Updated
Jun 15, 2021
License
007012 (NY)

Practice Information

Address
320 PRATHER AVE
JAMESTOWN, NY, 147016820
Browse NY providers · Browse ZIP 14701
Phone
7167537107
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in JAMESTOWN, NY

Name Credential NPI
CHAD CHITESTER P.A. 1184615163
GUST P VERLENI PA 1811988801
CONNIE S SCARPINE PA 1831176114
MS. GINNY MARIE MOYER-MATTESON RPA-C 1255378980
MS. CHELSEY MICHELE GRAY P.A. 1306157326
GEORIE MELISSA F. LONG PA-C 1316255631
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.