Peterson, Jennifer

Peterson, Jennifer is an individual health care provider with primary practice located at 315 S Seth Child Rd , Manhattan KS 66502-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peterson, Jennifer can be contacted via phone (785) 776-2813.

Contact Information

Primary practice address
315 S Seth Child Rd Manhattan KS 66502-3003
Phone: (785) 776-2813
Fax: (785) 776-2851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-77876-072 Kansas

Profile Details

NPI number 1023537677
LBN Legal business name Peterson, Jennifer
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2017
Last updated Sep 11th, 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 1023537677 NPPES
Kansas Other 53-77876-072 STATE LICENSE

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