Peters, Jennie L

Peters, Jennie L is an individual health care provider with primary practice located at 6032 40Th Ave , Kenosha WI 53142-7018. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Peters, Jennie L can be contacted via phone (262) 287-1999.

Contact Information

Primary practice address
6032 40Th Ave Kenosha WI 53142-7018
Phone: (262) 287-1999
Fax: (262) 287-0884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2022152805 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3146 Wisconsin

Profile Details

NPI number 1477743995
LBN Legal business name Peters, Jennie L
Credentials PMHNP-BC, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Apr 11th, 2024 - about 2 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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