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

MRS. JENNIFER LOUISE PETERSEN, NURSE PRACTITIONER

Active

MRS. JENNIFER LOUISE PETERSEN, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in FORT DRUM, New York. NPI 1629053343 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FORT DRUM, NY

Registration Details

NPI Number
1629053343
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2005 (20.637119244449 yrs)
Last Updated
Jul 8, 2007
License
44888 (KS)

Practice Information

Address
11050 MOUNT BELVEDERE BLVD
USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY, 136025438
Browse NY providers · Browse ZIP 13602
Phone
3157724025
Fax
3157729498
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in FORT DRUM, NY

Name Credential NPI
JOHN SCOTT KERNS FNP 1487998258
SARAH D HASKO MSN, FNP-C 1386037216
JOSEPH CAVITT MSN, APRN 1871940593
PANITA PIPATNAWIN FNP-C 1033604970
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.