Peter, Jeriann C

Peter, Jeriann C is an individual health care provider with primary practice located at 7555 Enchanted Hills Blvd Ne Ste 104 , Rio Rancho NM 87144-8625. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Peter, Jeriann C can be contacted via phone (505) 771-9833.

Contact Information

Primary practice address
7555 Enchanted Hills Blvd Ne Ste 104 Rio Rancho NM 87144-8625
Phone: (505) 771-9833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2005021426 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 53068 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2005021426 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2005021426 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53068 New Mexico

Profile Details

NPI number 1639405434
LBN Legal business name Peter, Jeriann C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2009
Last updated Sep 18th, 2023 - about last year

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 1639405434 NPPES
Missouri MEDICAID 1639405434
Missouri MEDICAID 1639405434

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