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

JENNIFER C PETERSON, M.D.

Active

JENNIFER C PETERSON, M.D. is a Pediatric Critical Care Medicine healthcare provider located in FLAGSTAFF, Arizona. NPI 1154586071 is currently active in the NPPES registry. Verify at CMS.

Pediatric Critical Care Medicine · FLAGSTAFF, AZ

Registration Details

NPI Number
1154586071
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2008 (18.103169840702 yrs)
Last Updated
Aug 6, 2025
Licenses
075484 (GA)
53734 (WI)
13205 (ND)
71077 (AZ)
71077 (AZ)

Practice Information

Address
1200 N BEAVER ST
FLAGSTAFF, AZ, 860013118
Browse AZ providers · Browse ZIP 86001
Phone
9282136235
Primary Specialty
Pediatric Critical Care Medicine
2080P0203X
Additional Specialty
Hospitalist

Other Pediatric Critical Care Medicine Providers in FLAGSTAFF, AZ

Name Credential NPI
DR. ALEXANDER A KON MD 1184609943
DR. SUSAN MOORE HAEFNER MD 1912948530
DR. ANWAR M VARDAG M.D. 1679963839
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.