Jennie L Peters in Racine - Family

Jennie L Peters - NPI 1477743995

Jennie L Peters is a Family in Racine, Wisconsin. Jennie L Peters practices all healthcare services and medical treatments related to Family. The NPI Number for Jennie L Peters is 1477743995. The last update date is 2012-12-21.

Jennie L Peters's current location address is 1 Main St, Racine, Wisconsin. You can contact this provider via phone number 2626876963 and fax number 2626878796. The mailing address for Jennie L Peters is 1 Main St, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennie L Peters
Address 1 Main St, Racine, Wisconsin
Phone Number 2626876963
Fax Number 2626878796
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1477743995
Provider Enumeration Date 2007-07-31
Last Updated Date 2012-12-21

Provider Mailing Address Detail

Address 1 Main St
City Racine
State Wisconsin (WI)
Post Code 534031079
Phone Number 2626876963
Fax Number 2626878796

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 3146
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Jennie L Peters

What is the unique 10-digit identification code assigned to Jennie L Peters by the Centers for Medicare & Medicaid Services?

The Jennie L Peters has been issued the NPI (National Provider Identifier) 1477743995, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jennie L Peters is physically located?

The Jennie L Peters is situated at the following address: 1 Main St, Racine, WI 534031079.

What is the Jennie L Peters's specialty and taxonomy code?

The Jennie L Peters's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date was the 1477743995 assigned to Jennie L Peters?

The Jennie L Peters was issued its 1477743995 on 2007-07-31, 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 details related to Jennie L Peters most recently updated or revised?

The information pertaining to Jennie L Peters, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-21.

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