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

JILL PETERSON

Active Sole Proprietor

JILL PETERSON is a Specialist healthcare provider located in COEUR D ALENE, Idaho. NPI 1700107612 is currently active in the NPPES registry. Verify at CMS.

Specialist · COEUR D ALENE, ID

Registration Details

NPI Number
1700107612
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2010 (16.203163054706 yrs)
Last Updated
Jun 15, 2010
License
MA 60093876 (WA)
Sole Proprietor
Yes

Practice Information

Address
6125 N SUNSHINE ST
COEUR D ALENE, ID, 83815
Browse ID providers · Browse ZIP 83815
Phone
2089644457
Primary Specialty
Specialist
174400000X

Other Specialist Providers in COEUR D ALENE, ID

Name Credential NPI
DR. LLOYD E. WITHAM M.D. 1467448860
JOHN T GIESEN M.D. 1093701492
MR. FREDRICK MARK OWSLEY M.D. 1265413017
DR. DARYL K MACCARTER M.D. 1740249275
MARK F BRINKMAN M.D. 1205899671
DAVID K WINEINGER M.D. 1972566214
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.