Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON PETERSEN
Active Sole ProprietorJASON PETERSEN is a Assisted Living Facility healthcare provider located in BROOKSVILLE, Florida. NPI 1669041356 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · BROOKSVILLE, FL
Registration Details
- NPI Number
- 1669041356
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2021 (5.1407133285281 yrs)
- Last Updated
- Jun 18, 2021
- License
-
11821 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5483 NEFF LAKE RDBROOKSVILLE, FL, 346017842Browse FL providers · Browse ZIP 34601
- Phone
- 7202449712
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in BROOKSVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| CHARLENE FAYE CURTIS | R.N. | 1679740062 |
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.