Peterson, Jacquelyn

Peterson, Jacquelyn is an individual health care provider with primary practice located at 320 Prather Ave , Jamestown NY 14701-6820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Peterson, Jacquelyn can be contacted via phone (716) 753-7107.

Contact Information

Primary practice address
320 Prather Ave Jamestown NY 14701-6820
Phone: (716) 753-7107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 007012 New York

Profile Details

NPI number 1124019948
LBN Legal business name Peterson, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2005
Last updated Jun 15th, 2021 - about 3 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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