Peterson, Jordan

Peterson, Jordan is an sole proprietor health care provider with primary practice located at 3375 N Seminary St , Galesburg IL 61401-1251. 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, Jordan can be contacted via phone (309) 343-5114.

Contact Information

Primary practice address
3375 N Seminary St Galesburg IL 61401-1251
Phone: (309) 343-5114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.024644 Illinois

Profile Details

NPI number 1518618123
LBN Legal business name Peterson, Jordan
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2022
Last updated Jan 20th, 2022 - 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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