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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548593452 | NPPES |
| Arizona | MEDICAID | 539866 |
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