Individual provider · Type 1 NPI

Anne M. Petersen, PA

Medical Physician Assistant · Jacksonville, FL

NPI number 1336214600 Active

Practice location

6555 Chester Ave Ste 1
Jacksonville, FL 32217-2279

Fax (904) 503-3577

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1336214600

Anne M. Petersen, PA's National Provider Identifier is 1336214600, issued on Nov 22, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 30, 2017.