Jeri L Petersen in Jacksonville - Professional
Jeri L Petersen - NPI 1619199205
Jeri L Petersen is a Professional in Jacksonville, North Carolina. Jeri L Petersen practices all healthcare services and medical treatments related to Professional. The NPI Number for Jeri L Petersen is 1619199205. The last update date is 2013-04-04.
Jeri L Petersen's current location address is 200 Tarpon Trl, Jacksonville, North Carolina. You can contact this provider via phone number 9109381114. The mailing address for Jeri L Petersen is 200 Tarpon Trl, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeri L Petersen |
|---|---|
| Address | 200 Tarpon Trl, Jacksonville, North Carolina |
| Phone Number | 9109381114 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1619199205 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2013-04-04 |
Provider Mailing Address Detail
| Address | 200 Tarpon Trl |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285465287 |
| Phone Number | 9109381114 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 6492 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identification code assigned to Jeri L Petersen by the Centers for Medicare & Medicaid Services?
The Jeri L Petersen has been issued the NPI (National Provider Identifier) 1619199205. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeri L Petersen?
The Jeri L Petersen is situated at 200 Tarpon Trl, in the city of Jacksonville, state of NC, with the zip code 285465287.
What is the Jeri L Petersen's area of specialization and corresponding taxonomy classification?
The Jeri L Petersen's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date was the 1619199205 assigned to Jeri L Petersen?
The Jeri L Petersen was issued its 1619199205 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jeri L Petersen's details last updated?
The information pertaining to the Jeri L Petersen, including its address, specialty, and other details, was most recently updated on 2013-04-04.
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