Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREESHA SHAUNTA PEACOCK
ActiveJEREESHA SHAUNTA PEACOCK is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in KAYENTA, Arizona. NPI 1699433326 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · KAYENTA, AZ
Registration Details
- NPI Number
- 1699433326
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2021 (4.7482438181355 yrs)
- Last Updated
- Nov 30, 2021
- License
-
36163 (WY)
Practice Information
- Address
-
HWY 160 M.P. 394KAYENTA, AZ, 86033Browse AZ providers · Browse ZIP 86033
- Phone
- 9286974000
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
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.