Individual provider · Type 1 NPI

Jerreka Peterson, AGACNP

Acute Care Nurse Practitioner · Colonial Heights, VA

NPI number 1104415827 Active

Practice location

524 Southpark Blvd
Colonial Heights, VA 23834-3609

Fax (804) 554-5387

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X0024180529 (VA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1104415827

Jerreka Peterson, AGACNP's National Provider Identifier is 1104415827, issued on Jan 17, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Colonial Heights, VA. The record was last updated on Sep 23, 2025.