Individual provider · Type 1 NPI

Jennifer C. Peterson, MD

Pediatric Critical Care Medicine Physician · Flagstaff, AZ

NPI number 1154586071 Active

Practice location

1200 N Beaver St
Flagstaff, AZ 86001-3118

Call (928) 213-6235 Map

Mailing address

1836 South Ave
La Crosse, WI 54601-5429

Other practice locations

  • 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 · (970) 222-0233
  • 1836 South Ave, La Crosse, WI 54601-5429 · (608) 782-7300
  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 · (602) 933-1000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician 2080P0203X075484 (GA)
Pediatric Critical Care Medicine Physician 2080P0203X53734 (WI)
Pediatric Critical Care Medicine Physician 2080P0203X13205 (ND)
Hospitalist Physician 208M00000X71077 (AZ)
Pediatric Critical Care Medicine Physician Primary 2080P0203X71077 (AZ)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1154586071

Jennifer C. Peterson, MD's National Provider Identifier is 1154586071, issued on Jul 21, 2008. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Flagstaff, AZ. The record was last updated on Aug 6, 2025.