Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMIE RAY PETERSON
Active Sole ProprietorJIMMIE RAY PETERSON is a Social Worker healthcare provider located in EAGAN, Minnesota. NPI 1861144768 is currently active in the NPPES registry. Verify at CMS.
Social Worker · EAGAN, MN
Registration Details
- NPI Number
- 1861144768
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2022 (4.5620970142823 yrs)
- Last Updated
- Jan 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
2085 JADE LNEAGAN, MN, 551222862Browse MN providers · Browse ZIP 55122
- Phone
- 6126191047
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in EAGAN, MN
| Name | Credential | NPI |
|---|---|---|
| DR. COLIN HOLLIDGE | PHD LISCW | 1447238381 |
| MS. EMILY HOLLIDGE | MSW LICSW | 1356329296 |
| MARYJO MELANDER | LICSW | 1770712713 |
| JENNIFER LANDRY | LGSW | 1740970342 |
| RUBY LEVINE | LGSW | 1720763113 |
| FOWSA SABTOW | — | 1992568406 |
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.