Individual provider · Type 1 NPI
Jennie Michelle Peterson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR
NPI number
1144732918
Active
Practice location
14743 NW Glacier Ln
Beaverton, OR 97006-5892
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 201808713NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1144732918
Jennie Michelle Peterson, PMHNP-BC's National Provider Identifier is 1144732918, issued on Nov 1, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Beaverton, OR. The record was last updated on May 9, 2024.