Jacquelyn Peterson in Jamestown - Medical
Jacquelyn Peterson - NPI 1124019948
Jacquelyn Peterson is a Medical in Jamestown, New York. Jacquelyn Peterson practices all healthcare services and medical treatments related to Medical. The NPI Number for Jacquelyn Peterson is 1124019948. The last update date is 2021-06-15.
Jacquelyn Peterson's current location address is 320 Prather Ave, Jamestown, New York. You can contact this provider via phone number 7167537107. The mailing address for Jacquelyn Peterson is 320 Prather Ave, Jamestown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Peterson |
|---|---|
| Address | 320 Prather Ave, Jamestown, New York |
| Phone Number | 7167537107 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124019948 |
|---|---|
| Provider Enumeration Date | 2005-11-01 |
| Last Updated Date | 2021-06-15 |
Provider Mailing Address Detail
| Address | 320 Prather Ave |
|---|---|
| City | Jamestown |
| State | New York (NY) |
| Post Code | 147016820 |
| Phone Number | 7167537107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 7012 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identifier code issued to Jacquelyn Peterson by the Centers for Medicare & Medicaid Services?
The Jacquelyn Peterson has been assigned the NPI (National Provider Identifier) 1124019948. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jacquelyn Peterson located?
The Jacquelyn Peterson is located at 320 Prather Ave, Jamestown, NY 147016820.
What is the area of specialization for Jacquelyn Peterson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacquelyn Peterson is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
When did the Jacquelyn Peterson receive its 1124019948?
The Jacquelyn Peterson was issued its 1124019948 on 2005-11-01, which is the date when the organization was assigned this unique identifier.
As of what date were the Jacquelyn Peterson's details last updated?
The information pertaining to the Jacquelyn Peterson, including its address, specialty, and other details, was most recently updated on 2021-06-15.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH