Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JENNIFER L PETERSEN, PA-C
ActiveMS. JENNIFER L PETERSEN, PA-C is a Surgical Physician Assistant healthcare provider located in FAIRLAWN, Ohio. NPI 1871689174 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FAIRLAWN, OH
Registration Details
- NPI Number
- 1871689174
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2006 (19.902337455747 yrs)
- Last Updated
- Apr 25, 2013
- License
-
50002511 (OH)
Practice Information
- Address
-
762 S CLEVELAND MASSILLON RDFAIRLAWN, OH, 443333024Browse OH providers · Browse ZIP 44333
- Phone
- 3306654100
- Fax
- 3306654190
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in FAIRLAWN, OH
| Name | Credential | NPI |
|---|---|---|
| RICHARD EDWARD PATTERSON | PA-C | 1285749366 |
| MS. MARCIA R GROSSMAN | PA-C | 1982790366 |
| SHARLA D MORETTA | PA-C | 1720177926 |
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.