Peters, Jacqueline A

Peters, Jacqueline A is an individual health care provider with primary practice located at 301 Wolverine Trl Suite 100, Smyrna TN 37167-5656. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Peters, Jacqueline A can be contacted via phone (615) 459-6700.

Contact Information

Primary practice address
301 Wolverine Trl Suite 100 Smyrna TN 37167-5656
Phone: (615) 459-6700
Fax: (615) 459-0068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000006824 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN0000006824 Tennessee

Profile Details

NPI number 1144267279
LBN Legal business name Peters, Jacqueline A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Feb 5th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144267279 NPPES
Tennessee MEDICAID 3908400

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