Ford Petersen, Jann M

Ford Petersen, Jann M is an individual health care provider with primary practice located at 3624 N Power Rd , Mesa AZ 85215-9733. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ford Petersen, Jann M can be contacted via phone (602) 755-0800.

Contact Information

Primary practice address
3624 N Power Rd Mesa AZ 85215-9733
Phone: (602) 755-0800
Fax: (602) 560-2721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP8132 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP8132 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN8132 Arizona

Profile Details

NPI number 1710357355
LBN Legal business name Ford Petersen, Jann M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2015
Last updated Jun 15th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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