Peters, Jessie Joann

Peters, Jessie Joann is an individual health care provider with primary practice located at 651 W Mingus Ave , Cottonwood AZ 86326-4006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peters, Jessie Joann can be contacted via phone (928) 634-2236.

Contact Information

Primary practice address
651 W Mingus Ave Cottonwood AZ 86326-4006
Phone: (928) 634-2236
Fax: (928) 634-8960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP3454 Arizona

Profile Details

NPI number 1548593452
LBN Legal business name Peters, Jessie Joann
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2009
Last updated Dec 8th, 2015 - about 11 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 1548593452 NPPES
Arizona MEDICAID 539866

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