Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER MARY PETERSEN, LPN
Active Sole ProprietorMRS. JENNIFER MARY PETERSEN, LPN is a Licensed Practical Nurse healthcare provider located in SULLIVAN, Wisconsin. NPI 1417308578 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SULLIVAN, WI
Registration Details
- NPI Number
- 1417308578
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2016 (10.117782092794 yrs)
- Last Updated
- Jun 29, 2016
- License
-
31454231 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
417 GROVE STSULLIVAN, WI, 531789770Browse WI providers · Browse ZIP 53178
- Phone
- 9209883499
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.