Individual provider · Type 1 NPI

Pamela Teresa Peterson, NP

Acute Care Nurse Practitioner · Jackson, MI

NPI number 1255371530 Active

Practice location

300 W Washington Ave, Suite 300
Jackson, MI 49201-2180

Fax (517) 841-1306

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X4704194081 (MI)
Acute Care Nurse Practitioner Primary 363LA2100X4704194081 (MI)

Acute Care Nurse Practitioner: Definition to come...

18 other providers at this address

Other acute care nurse practitioner providers in Jackson

See all in Jackson →

About NPI 1255371530

Pamela Teresa Peterson, NP's National Provider Identifier is 1255371530, issued on Jun 7, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, MI. The record was last updated on Sep 8, 2025.