Jessica Joy Peterson in Green Bay - Physician Assistant
Jessica Joy Peterson - NPI 1851388250
Jessica Joy Peterson is a Physician Assistant in Green Bay, Wisconsin. Jessica Joy Peterson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica Joy Peterson is 1851388250. The last update date is 2021-01-28.
Jessica Joy Peterson's current location address is Po Box 1866, Green Bay, Wisconsin. You can contact this provider via phone number 9204457222 and fax number 9204457289. The mailing address for Jessica Joy Peterson is Po Box 1866, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Joy Peterson |
|---|---|
| Address | Po Box 1866, Green Bay, Wisconsin |
| Phone Number | 9204457222 |
| Fax Number | 9204457289 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1851388250 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2021-01-28 |
Provider Mailing Address Detail
| Address | Po Box 1866 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543051866 |
| Phone Number | 9204457222 |
| Fax Number | 9204457289 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1846023 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42869400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jessica Joy Peterson by the Centers for Medicare & Medicaid Services?
The Jessica Joy Peterson has been issued the NPI (National Provider Identifier) 1851388250, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jessica Joy Peterson's facilities are situated?
The facilities of Jessica Joy Peterson are physically located at the following address: Po Box 1866, Green Bay, WI, 543051866.
What is the Jessica Joy Peterson's specialty and taxonomy code?
The Jessica Joy Peterson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851388250 to Jessica Joy Peterson?
The Jessica Joy Peterson received its 1851388250 assignment from the Centers for Medicare & Medicaid Services on 2005-09-30.
As of what date were the details related to Jessica Joy Peterson most recently updated or revised?
The information pertaining to Jessica Joy Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2021-01-28.